专项整治对天水地区市直属医院抗菌药物结构的影响  

The special rectification impact the structure of antibacterial drugs in hospitals directly under the municipality in Tianshui area

作　　者：张文星 卢利军[1] 刘惠娟[1] 石盘棋 ZHANG Wen-xing;LU Li-jun;LIU Hui-juan(Tianshui Traditional Chinese Medicine Hospital,Tianshui 741000,China)

机构地区：[1]天水市中医医院,甘肃天水741000

出　　处：《中国处方药》2022年第1期39-40,共2页Journal of China Prescription Drug

基　　金：天水市科技支撑计划项目(2021-SHFZKJK-1968)。

摘　　要：目的通过对天水地区市直属7家医院抗菌药物使用统计,了解专项整治对抗菌药物临床应用的影响。方法分别选取专项整治前(2008、2009、2010年)和专项整治后(2018、2019、2020年)为时间点,天水地区市直属7家医院为研究对象,运用系统随机抽样方法抽取这6年期间医院的住院病历进行分析。以专项整治前后抗菌药物使用率、抗菌药物使用强度、Ⅰ类切口手术预防使用抗菌药物合格率为主要分析指标。结果2008~2010年抗菌药物使用率分别为63.10%、64.76%、68.33%;Ⅰ类切口手术预防使用抗菌药物合格率分别为75.79%、79.76%、77.38%;抗菌药物使用强度分别为45.29%、43.86%、40.77%。2018~2020年抗菌药物使用率分别为37.38%、35.48%、33.57%;Ⅰ类切口手术预防使用抗菌药物合格率分别为96.83%、96.03%、97.62%;抗菌药物使用强度分别为18.35%、16.28%、16.49%。结论与专项整治前相比,整治后抗菌药物使用率降低、抗菌药物使用强度下降、Ⅰ类切口手术预防使用抗菌药物合格率提高,专项整治成果显著,医院规范使用抗菌药物趋势明显。但仍需加强抗菌药物监测、加大对医务工作者和公众抗菌药物知识培训,进一步完善抗菌药物使用及管理情况。Objective Through statistics on the use of antimicrobials in 7 hospitals directly under the Tianshui area,we can understand the impact of special rectification on the clinical application of antimicrobials.Methods We select the time points before the special rectification(2008,2009,2010)and after the special rectification(2018,2019,2020)respectively,and select 7 hospitals directly under the city of Tianshui as the research objects,and use systematic random sampling method to investigate the hospital’s inpatient medical records during the six-year period for analysis.The use rate of antibacterial drugs before and after special rectification,the intensity of antibacterial use,and the qualified rate of preventive use of antibacterial drugs for ClassⅠincision surgery are the main analysis indicators.Results The usage rates of antibacterial drugs from 2008 to 2010 were 63.10%,64.76%,68.33%,the qualified rates of antibacterial drugs for classⅠincision surgery were 75.79%,79.76%,77.38%,the intensity of use of antibacterial drugs was 45.29%,43.86%,40.77%.The usage rates of antibacterial drugs from 2018 to 2020 were 37.38%,35.48%,33.57%,the qualified rates of antibacterial drugs for classⅠincision surgery were 96.83%,96.03%,97.62%,the intensity of use of antibacterial drugs was 18.35%,16.28%,16.49%.Conclusion Compared with before the special rectification,after the special rectification,the use rate of antibacterial drugs decreased,the intensity of antibacterial drug use decreased,and the qualified rate of preventive use of antibacterial drugs for ClassⅠincision surgery increased,results of special treatment are significant,and the trend of standardized use of antibacterial drugs in hospitals is obvious.However,it is still necessary to strengthen the monitoring of antibacterial drugs,increase the training of antibacterial drugs for medical workers and the public,and further improve the use and management of antibacterial drugs.

关 键 词：抗菌药物 专项整治 市直属医院 Ⅰ类切口手术 临床应用 

分 类 号：R95[医药卫生—药学]