医院抗菌药物临床应用专项整治持续效果分析  

Lasting Effect of a Special Antibiotic Restriction Program on Antibiotic Usage in the Hospital

作　　者：王娜[1] 贾俐萍[1] 张伟东[1] 王莉[1] 郭琼杰[1] 刘兰祥[1] 魏鹍[1] 

机构地区：[1]秦皇岛市第一医院,河北秦皇岛066000

出　　处：《中国医院管理》2013年第8期53-55,共3页Chinese Hospital Management

摘　　要：目的分析抗菌药物临床应用专项整治对医院住院患者抗菌药物临床用药的持续效果。方法采用回顾性调查方法,以开展抗菌药物临床应用专项整治前后的2010—2012为研究时间,对医院住院患者抗菌药物使用率、使用强度、用药金额及清洁手术预防用药率、清洁手术术后24小时停药率进行调查及分析。结果2010—2012年,抗菌药物使用率分别为70.0%、64.4%和49.3%,抗菌药物使用强度分别为73.3、58.2和37.9,抗菌药物用药金额占药费总额比例分别为21.9%、16.2%和11.1%;清洁手术预防用抗菌药物比率分别为95.5%、91.0%和50.3%,清洁手术术后24小时停药率分别为11.0%、27.2%和42.0%。结论抗菌药物临床应用专项整治对抗菌药物的合理使用起到了积极的促进作用。Objective To evaluate the lasting effect of the Special Antibiotic Restriction Program （SARP） on the application of antibiotic in the hospital. Methods A retrospective investigation of the percentage of antibiotic usage, antibiotic use density, antibiotic consumption, and the prophylatic application of antibiotic in incision operations during SARP from 2010 to 2012 was carried out. Results From 2010 to 2012, the percentage of antibiotic usage was 70.0%, 64.4% and 49.3% respectively, the antibiotic use density was 73.3, 58.2 and 37.9 respectively, the rate of the antibiot- ic cost to the total drug cost was 21.9%, 16.2% and 11.1% respectively, the ratio of prophylatic application and with- drawal between 24 h of antibiotic in incision operations were 95.5%, 91.0%, 50.3% respectively and 11.0%, 27.2%, 42.0% respectively. Conclusion The SARP is effective to the rational use of antibiotic.

关 键 词：抗菌药物 专项整治 合理用药 

分 类 号：R96[医药卫生—药理学]