2100例住院病人特殊使用级抗菌药物应用点评及干预效果分析  

Rational use evaluation of the specialized antibacterial drugs in 2100inpatients and analysis of intervention effect

作　　者：乔丽名[1] 田泾[2] 杨玉婷[1] 姚胜男 邬顺全[3] 胡晋红[2] 

机构地区：[1]第二军医大学长海医院医教部,上海200433 [2]第二军医大学长海医院药学部,上海200433 [3]第二军医大学卫勤系卫生统计学教研室,上海200433

出　　处：《药学服务与研究》2013年第6期419-421,共3页Pharmaceutical Care and Research

摘　　要：目的:通过调查第二军医大学长海医院住院病人特殊使用级抗菌药物(specialized antibacterial drugs,SADs)临床应用现状,分析SADs合理使用情况并评估干预效果。方法:自2011年4月至2013年6月每季度随机抽取使用过SADs的住院病历,对其进行合理性点评,并将点评结果反馈到科室。结果:累计抽取出院病历2100份,经干预后本院SADs使用不合理比例从干预前的78%下降至干预后的25%(P<0.001),其中以越权处方比例下降最为明显。结论:经过两年多针对性的干预措施,本院SADs临床应用合理性得到提升。Objective： To investigate the clinical application status of specialized antibacterial drugs （SADs）, and to analyze the rational use of SADs and evaluate the effect of intervention measures. Methods： The medical records from the SADs of inpatients of Changhai Hospital, in each quarter from April 2011 to June 2013, were randomly selected for the evaluation of the rational use of SADs, and the results were fed back timely to related departments. Results： A total of 2100 medical records were selected. Results showed that the proportion of irrational application of SADs decreased from 78% （before intervention） to 25 % （after intervention） （P〈0. 001）. Of all the cases, the proportion of unauthorized prescription decreased most prominently. Conclusion：After over 2 years of intervention, the rationality in the application of SADs has been greatly improved in the hospital.

关 键 词：抗感染药 特殊使用药物 药物利用评审 用药干预 

分 类 号：R969.3[医药卫生—药理学] R978.1[医药卫生—药学]