某院实施合理用药月报制度对抗菌药物的管理成效分析  

Analysis of the Effects of Antibacterial Management after the Implementation of Monthly Report for Rational Drug Use in a Hospital

作　　者：柴栋[1] 周小江[1] 冯洁[1] 侯永春[1] 张卫同[1] 张玉萌[1] 沈绍清[1] 

机构地区：[1]解放军总医院海南分院药剂科,海南三亚572013

出　　处：《中国药房》2014年第14期1257-1259,共3页China Pharmacy

摘　　要：目的:介绍某院通过合理用药月报制度对规范抗菌药物使用的成效。方法:回顾性收集该院2012年7月-2013年10月抗菌药物相关使用数据,以门诊患者抗菌药物使用率、住院患者抗菌药物使用率、药费比、Ⅰ类切口手术抗菌药物预防使用率、特殊使用级抗菌药物的微生物检验样本送检率和抗菌药物使用强度为观察指标,比较合理用药月报制度开展前后的变化差异。结果:在实施合理用药月报制度干预期间,门诊抗菌药物处方比例为10.46%、住院患者抗菌药物使用率为54.74%、药费比为37.73%、Ⅰ类切口手术抗菌药物预防使用率为53.69%、特殊使用级抗菌药物的微生物检验样本送检率为81.18%、抗菌药物使用强度为48.36 DDDs/100人/天。结论:该院合理用药月报制度加强了抗菌药物临床应用的管理,提高了抗菌药物合理应用水平。OBJECTIVE： To introduce the achievements of standardizing antibacterial use after the implementation of monthly report for rational drug use in a hospital. METHODS： The data of antibacterial use in the hospital during Jul. 2012 to Oct. 2013 were collected retrospectively. The utilization of antibacterial was compared before and after the implementation of monthly report for rational drug use, using the utilization ratio of antibacterial in outpatient, the utilization ratio of antibacterial in inpatients, the ratio of drugs to cost, the utilization ratio of antibacterial for type I incision surgery, delivered ratio of microbial test sample of anti- bacterial for special use and AUD of antibacterial as index. RESULTS： During the implementation of monthly report for rational drug use, antibacterial prescriptions accounted for 10.46% in outpatient department; the utilization ratio of antibacterial was 54.74% in the inpatient; the ratio of drugs to cost was 37.73% ; the utilization ratio of antibacterial for type I incision surgery was 53.69%; delivered rate of microbial test sample of antibacterial for special use was 81.18%; AUD of antibacterial was 48.36 DDDs/ 100 persons/day. CONCLUSIONS： The implementation of monthly report for rational drug use could reinforce the management of antibacterial in clinical application, and significantly improve the rational use of antibacterial.

关 键 词：抗菌药物 抗菌药物使用强度 抗菌药物使用率 限定日剂量 

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