2008—2011年解放军总医院第一附属医院抗菌药物应用分析  

Analysis of Antibiotic Use in The First Affiliated Hospital of Chinese PLA General Hospital During 2008-2011

作　　者：裴侃[1] 刘皈阳[1] 王喆[1] 夏和美[1] 朱小明[1] 

机构地区：[1]解放军总医院第一附属医院,北京100037

出　　处：《中国医院用药评价与分析》2012年第9期783-786,共4页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解我院抗菌药物应用现状和趋势,为临床合理用药提供参考。方法:收集我院药库HIS系统2008—2011年抗菌药物出库数据,并对抗菌药物的销售金额、用药频度(DDDs)和限定日费用(DDC)进行统计分析。结果:我院抗菌药物销售金额呈逐年上升趋势,占药品总销售金额比例逐年下降,抗菌药物主要以β-内酰胺类、抗真菌药和碳青霉烯类为主,碳青霉烯类和第3代头孢菌素应用上升速度最快,含β-内酰胺酶抑制剂的抗菌药物应用水平较高。结论:我院抗菌药物应用基本合理,但仍存在部分高起点用药和经验用药情况,需进一步加强监测和管理。OBJECTIVE ：To investigate the for references of rational drug use. METHODS ： status quo and tendency of the utilization of antibiotics The consumption data of antibiotics during 2008-2011 using HIS system in drug storehouse, and the use of antibiotics was analyzed statistically with regard in our hospital were collected to consumption sum,DDDs and DDC. RESULTS： The consumption sum of antibiotics in our hospital increased year by year but its proportion declined year by year. β-lactam antibiotics, antifungal agents and carbapenems were the dominant antibiotics used in our hospital, with carbapenems and third generation of cephalosporin showing the fastest increase in consumption, and the consumption of beta-lactamase inhibitors was on the high side. CONCLUSION： The utilization of antibiotics in this hospital is generally rational; however, the antibiotic use is still characterized by high starting point and empirical medication, thus measures should be taken to tighten monitoring and control on antibiotic use.

关 键 词：抗菌药物 限定日剂量 合理用药 

分 类 号：R978.1[医药卫生—药品]