安徽省合肥市基层医院门诊抗菌药物应用情况分析  

Analysis of the applications of antibacterial agents to outpatients in primary hospitals in Hefei City of Anhui Province

作　　者：徐丙发[1] 秦侃[1] 李双虎[2] 韩晗[3] 陈瑞[1] 徐芸[1] 范鲁雁[1] 

机构地区：[1]安徽医科大学第三附属医院合肥市第一人民医院药学部,安徽省合肥230061 [2]安徽中医学院药学院 [3]安徽医科大学药学院

出　　处：《中国基层医药》2014年第17期2570-2572,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：安徽省科技厅重点科研项目（11070403037）

摘　　要：目的：调查安徽省合肥市基层医院门诊抗菌药物使用情况，为指导基层医院更好地合理应用抗菌药物提供参考。方法随机抽取合肥市45家基层医院，每月从中抽取门诊处方30～40张，对门诊抗菌药物使用情况进行统计分析。结果2011年城市社区卫生服务中心和乡镇卫生院的门诊抗菌药物使用率分别为（45．36±20．02）％、（61．36±17．18）％（P＝0．01），门诊抗菌药物使用强度分别为（89．73±25．50）DDDs＆#183;（100例）-1＆#183; d-1、（108．46±32．27）DDDs＆#183;（100例）-1＆#183; d-1（P＝0．04），抗菌药物联用比例分别为13.34％、29．13％（P＝0．00），注射剂型比例分别为23.16％、46．39％，前者明显低于后者（P＜0．05）；在抗菌药物品种选择上头孢菌素类、青霉素类和喹诺酮类仍然是基层医院使用最主要的抗菌药物。结论安徽省合肥市基层医院门诊抗菌药物使用不合理，有必要加强督导和培训，特别是乡镇卫生院。Objective To investigate the applications of antibacterial agents to outpatients in primary hos -pitals in Hefei City of Anhui Province,and to provide reference for rational use of antibacterial agents.Methods In 2011, fourty-five primary hospitals in Hefei City were selected randomly ,including urban community health service centers （Group A） and township hospitals（Group B）,and thirty or fourty outpatient prescriptions were analyzed monthly . Results In Group A, the percentage and intensity of antimicrobial usage , the proportion of the combination and injectable formulation were （ 45.36 ±20.02 ）%, （ 89.73 ±25.50 ） DDDs · （ 100 cases ） -1 · d-1 , 13.34%, 23.16%,respectively,and the data in Group B were （61.36 ±17.18）%,（108.46 ±32.27）DDDs· （100 cases） -1 · d-1,29.13%,46.39%,respectively,which the former were significantly lower than the latter.Conclusion In primary hospitals,the applications of antibacterial agents to outpatiants are not rataional ,including high percentages of usage and unreasonable selection of species ,and more supervision and training need to be given to the medical staff , especially in township hospitals .

关 键 词：医院 社区 医院 乡村 抗菌药 处方 药物 

分 类 号：R95[医药卫生—药学]