住院患者抗菌药物使用强度情况分析  

Analysis of antibacterial use density in inpatients

作　　者：吴利利[1] 何智义[1] 郑传痴[1] 田应彪[1] 

机构地区：[1]遵义医学院附属医院药剂科,贵州遵义563099

出　　处：《遵义医学院学报》2012年第4期308-311,共4页Journal of Zunyi Medical University

摘　　要：目的分析遵义医学院附属医院住院患者抗菌药物使用情况,促进抗菌药物合理应用。方法收集我院2012年1至7月抗菌药物使用记录,以限定日剂量(DDD)为单位,计算抗菌药使用强度(AUD)并进行分析。结果住院患者AUD总体呈下降趋势,头孢菌素类、含β-内酰胺酶抑制剂的复合制剂和青霉素类排名AUD前三位;排名AUD前十位的药物大部分来自β-内酰胺类和喹诺酮类;抗菌药物费用占药费总额的百分率总体较低。结论抗菌药物的应用逐步转向合理用药,但存在用药过于集中,应继续加强抗菌药物临床应用管理,达到合理用药,降低医疗费用和减轻患者负担的目的。Objective To analyze the antibacterial use density in inpatients of The Affiliated Hospital of Zunyi Medical College to improve the rational use of antibacterials. Methods Taking defined daily dose （DDD） as the unit, the usage records of antibiotics in our hospital during January to July in 2012 were collected to calculate and analyze the antibacterial use density （AUD）. Results The AUD of inpatients in our hospital was totally decreased. Cephalosporins, [3 - lactamase/inhibitors and penicillins ranked in the first three places. The drugs ranking in the first ten places came from [3 -Lactams and quinolones. The percentage of antibiotics cost accounting for total amount of drugs was overall lower. Conclusion The use of antibacterials in our hospital gradually turned to be reasonable, but it still existed dense med- ication. It is urgent to strengthen clinical application of antibiotics for the purpose of using drug rational- ly, reducing medical cost and alleviating the burden of patients.

关 键 词：抗菌药物使用强度 住院患者 用药分析 

分 类 号：R978.1[医药卫生—药品]