我院抗菌药物专项整治活动干预措施及效果分析  

Analysis of Intervention Measures of Antibiotics Special Rectification and Its Effects in Our Hospital

作　　者：郭计东 王修峰[1] 孙冬青[2] 

机构地区：[1]邹城市人民医院,山东邹城273500 [2]邹城市红十字会急救中心,山东邹城273500

出　　处：《中国药房》2013年第28期2662-2665,共4页China Pharmacy

摘　　要：目的:为提高基层医疗卫生机构抗菌药物合理应用水平提供参考。方法:发挥医院药事管理与药物治疗学委员会的管理职能,结合有关法律法规要求,对该院抗菌药物的遴选、购入、临床应用、业务人员培训、临床应用预警等方面加强管理。结果:该院抗菌药物品种数由整治前的88种降至35种,抗菌药物使用强度由135.38DDDs(/100人·d)降至54.71DDDs(/100人·d),门诊抗菌药物使用率由38.15%降至19.49%,住院抗菌药物使用率由84.51%降至57.68%,Ⅰ类切口手术抗菌药物预防使用率由98.6%降至30.2%。结论:该院药事管理与药物治疗学委员会充分发挥了其在抗菌药物合理应用中的管理职能,采取的各项干预措施切实有效,但抗菌药物使用水平与卫生部的要求还有一定距离,仍需进一步加强管理。OBJECTIVE： To provide reference for the improvement of rational use of antibiotics in primary hospital. METH- ODS： By full playing management functions of Pharmacy Administration and Therapeutics Committee, combined with the require- ments of the relevant laws and regulations, the selection, purchase and clinical applications of antibiotics, operational staff train- ing, early warning of clinical application were enhanced comprehensively in the hospital. RESULTS： The number of antibiotics va- rieties decreased from 88 （before rectification） to 35; DDDs of antibiotics decreased from 135.38 DDDs/（100 persons, d） to 54.71 DDDs/（100 persons, d）; the utilization ratio of outpatient antibiotics decreased from 38.15% to 19.49%; the utilization ratio of in- patient antibiotics decreased from 84.51% to 57.68% ; prophylactic utilization ratio of antibiotics in type I incision surgery de- creased from 98.6% to 30.2%. CONCLUSIONS： Pharmacy Administration and Therapeutics Committee full play management func- tions in reasonable application of antibiotics. Intervention measures are feasible and effective, but the application of antibiotics keeps a distance form the requirements of Ministry of Public Health. The management of antibiotic use should be further enhanced.

关 键 词：药事管理与药物治疗学委员会 抗菌药物 合理应用 效果 

分 类 号：R969.3[医药卫生—药理学]