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国产与进口头孢吡肟注射剂治疗泌尿系感染的最小成本分析

Domestic vs. Imported Cefepime Injections for Urinary Tract Infection: Cost-minimization Analysis
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摘要 目的:比较国产与进口头孢吡肟注射剂治疗泌尿系感染的疗效、不良反应及成本。方法:用随机、平行、对照、多中心单盲试验设计(几个不同地区的医院病例研究,且受试者不知情),以进口头孢吡肟注射剂作对照组。进入疗效分析病例数为122例,其中国产试剂组61例,对照组61例。两组病例均为每次给药2g,60分种内静滴,1日2次,疗程7至14天。运用药物经济学的最小成本分析法进行经济学评价。结果:国产与进口头孢吡肟注射剂治疗泌尿系感染的临床有效率、致病菌清除率、不良反应发生率差异无统计学意义。但国产头孢吡肟组的成本比进口组低18.9%。结论:国产头孢吡肟注射剂与进口头孢吡肟注射剂相比,疗效相当,价格更便宜。 OBJECTIVE : To evaluate the clinical efficacy, ADRs, and costs of domestic vs. imported cefepime injections in the treatment of urinary infection. METHODS: A randomized, parallel controlled, multicenter, single blind trial was conducted in patients with urinary tract infection in several hospitals (with subjects not knowing the fact) with import cefepime injections as control. A total of 122 cases were included in our analysis of curative effects: the subjects in the trial group (n= 61) were assigned to receive 2g cefepime domestic cefepime injection and the control group (n = 61) were to receive 2g imported cefepime injection by intravenous drip within 60min bid for 7 - 14 days. A cost - minimization analysis was conducted for the pharmacoeconomic evaluation. RESULTS: There were no significant differences in clinical effective rate, clearance rate of bacterias, incidences of ADRs between the two groups, but the cost of domestic cefepime was 18.9 % lower than the imported one. CONCLUSION: The domestic cefepime injection is equivalent to its imported counterpart in efficacy, but is cheaper.
出处 《中国医院用药评价与分析》 2007年第4期295-297,共3页 Evaluation and Analysis of Drug-use in Hospitals of China
关键词 头孢吡肟注射剂 泌尿系感染 最小成本分析 Cefepime injection Urinary infection Cost - minimization analysis
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