2014—2016年深圳市福田区中医院住院病区抗菌药物使用现状调查与分析  

Status Investigation and Analysis on Application of Antibiotics in Wards of Shenzhen Futian Traditional Chinese Medicine Hospital During 2014-2016

作　　者：李春红 单爱云 王敏[2] 黄张杰 

机构地区：[1]深圳市福田区中医院药剂科,广东深圳518034 [2]海南省人民医院药学部,海南海口570311

出　　处：《中国医院用药评价与分析》2017年第6期823-826,共4页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:了解深圳市福田区中医院(以下简称"我院")病区专项整治后近3年抗菌药物使用现状,为下一步的抗菌药物管理提供思路和依据。方法:提取2014年1月—2016年12月我院病区抗菌药物使用数据,对临床使用的抗菌药物进行分类汇总,统计抗菌药物使用率、抗菌药物使用强度(antibiotics use density,AUD)、用药频度(defined daily dose system,DDDs)、病原学送检率、抗菌药物联合使用率、Ⅰ类切口手术抗菌药物预防性使用率。结果:2014—2016年我院病区抗菌药物使用率分别为47.24%、44.32%、41.25%,呈逐年下降趋势;AUD分别为33.35、34.45、34.21 DDDs/(100人·d);治疗性用药微生物送检率分别为44.94%、55.35%、59.76%,使用限制使用级抗菌药物微生物送检率分别为46.75%、55.35%、66.06%,使用特殊使用级抗菌药物微生物送检率分别为100.00%、93.10%、93.33%;Ⅰ类切口手术抗菌药物预防性使用率分别为30.18%、22.45%、28.63%;人均抗菌药物费用分别为663.30、678.56、855.00元,呈增长趋势。结论:专项整治后我院病区抗菌药物应用指标大部分符合卫生部要求,但抗菌药物目录尚需调整,抗菌药物知识培训需有针对性地开展,抗菌药物监控系统的建设也需加强。OBJECTIVE ： To investigate the application of antibiotics of recent 3 years in wards of Shenzhen Futian TCM Hospital（hereinafter referred to as ＂our hospital＂） after specific rectification, so as to provide references for its management. METHODS： Data of application of antibiotics in our hospital from Jan. 2014 to Dee. 2016 was extracted, classified and aggregated, antibiotics usage rate, AUD, DDDs, etiology detection rate, antibiotics combined usage rate and preventive usage rate of type I incision were calculated. RESULTS： The antibiotics usage rates were respectively 47.24%, 44. 32%, 41.25% during 2014-2016, which presented a downtrend year by year; the AUD were respectively 33.35, 34. 45, 34. 21 DDDs/（ 100 person.day） ; microorganism detection rates of therapeutic medication were respectively 44. 94%, 55.35%, 59.76%, microorganism detection rates of restricted-use antibiotics were respectively 46.75%, 55.35%, 66.06%, microorganism detection rates of special-use antibiotics were respectively 100. 00% , 93.10% , 93.33% ; preventive usage rates of type I incision were respectively 30. 18% , 22. 45% , 28.63% ; costs of antibiotics per patient were respectively 663.30 yuan, 678.56 yuan, 855.00 yuan, which presented an growth trend. CONCLUSIONS： After specific rectification, most application indexes of antibiotics of our hospital meet the requirements of Ministry of Health, but the catalogue needs to be adjusted, targeted knowledge training needs to be carried out and monitoring system needs to be reinforced.

关 键 词：专项整治 病区 抗菌药物 现状调查 用药分析 

分 类 号：R978.1[医药卫生—药品]