某二级医院抗菌药物专项整治对抗菌药物合理使用的影响  

The influence of special rectification of antibacterial drugs on rational use of antibacterial drugs in a GradeⅡhospital

作　　者：冒海军 王祝青 王辉良 MAO Haijun;WANG Zhuqing;WANG Huiliang(Medical Affairs Department,Rudong Shencheng Nursing Home,Jiangsu Province,Rudong County 226400,China)

机构地区：[1]如东申丞护理院医务科,江苏省如东县226400 [2]如皋博爱医院,江苏省如皋市226500 [3]中国人民解放军海军第九〇五医院,上海市200000 [4]上海市金山区亭林镇社区卫生服务中心,200000

出　　处：《临床合理用药杂志》2021年第7期1-3,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的分析专项整治活动对某二级医院抗菌药物合理使用的影响。方法抽取2018年10月-2019年3月如皋博爱医院进行全国抗菌药物临床应用专项整治活动前门诊、住院抗菌药物使用的资料为整治前;另抽取2019年4月-2019年9月医院进行全国抗菌药物临床应用专项整治活动后抗菌药物使用资料为整治后,比较整治前后抗菌药物临床使用率、抗菌药物使用合格率、DDD值等。结果整治后,门诊抗菌药物总使用率为13.99%,明显低于整治前的30.72%(P<0.01);住院非手术抗菌药物使用合格率为94.26%,高于整治前的78.65%(P<0.01);住院手术抗菌药物使用合格率为87.22%,高于整治前的62.39%(P<0.01);住院抗菌药物DDD值为59.11,低于整治前的97.91;全院处方合格率为98.97%。结论专项整治后医院抗菌药物的使用率下降较为明显,抗菌药物使用合格率明显提升,医院抗菌药物使用得到较大改善。Objective To analyze the influence of special rectification activities on the use of antibiotics in a GradeⅡhospital.Methods The data of outpatient and inpatient use of antimicrobial agents before the national special rectification activity on the clinical application of antimicrobial agents conducted by the Rugao Boai Hospital from October 2018 to March 2019 were selected as the pre-rectification;In addition,all the data on the use of antimicrobial agents after the national rectification campaign on the clinical application of antimicrobial agents conducted by the hospital during April 2019 and September2019 were selected as the post-rectification,and the clinical utilization rate,qualified rate and DDD value of antimicrobial agents were compared and analyzed.Results The total use rate of antibacterial drugs in the post-rectification(13.99%)was significantly lower than the pre-rectification(30.72%)(P<0.01);The qualified rate of non-surgical use of antibacterial drugs in the post-rectification(94.26%)was higher than the pre-rectification(78.65%)(P<0.01);The qualified rate of use of antibacterial drugs in post-rectification(87.22%)was higher than the pre-rectification(62.39%)(P<0.01);The DDD value of hospitalized antibiotics in the post-rectification(59.11)was lower than the pre-rectification(97.91);The prescription rate of the whole hospital was 98.97%.Conclusion After the special rectification,the utilization rate of antibacterial drugs in the hospital decreased significantly,the qualified rate of antibacterial drugs was significantly increased,and the use of antibacterial drugs in the hospital was greatly improved.

关 键 词：抗菌药物 专项整治 药物合理使用 

分 类 号：R95[医药卫生—药学]