摘要
目的:调查马鞍山市人民医院(以下简称"我院")开展急诊抗菌药物合理应用专项整治的效果,为抗菌药物临床合理应用提出建议。方法:抽取我院急诊药房2014年3—5月(整治前)和2014年9—11月(整治后)的急诊处方共1 800张,对抗菌药物应用情况进行统计、分析及合理性评价。结果:整治后我院急诊抗菌药物处方占比由47.00%降至36.89%,处方金额占比由42.67%降至35.84%,静脉用药比由35.44%降至27.44%,联合用药比由9.33%降至6.00%,基本药物用药比由65.35%升至77.88%。头孢呋辛、头孢氨苄的销售金额和用药频度(defined daily dose system,DDDs)上升,头孢美唑、头孢他啶、头孢地尼的的销售金额和DDDs明显下降。结论:专项整治有助于促进急诊抗菌药物合理应用,可根据整治方法建立长效工作机制。
OBJECTIVE： To investigate the outcome of special rectification about rational utilization of antibiotics in emergency department of People＇s Hospital of Ma＇anshan（ hereinafter referred to as ＂our hospital＂）,and to provide advice for clinical rational use of antibiotics. METHODS： 1 800 prescriptions in emergency department from Mar. to May（ before rectification） and from Sept. to Nov.（ after rectification） in 2014 were selected,statistical analysis and rational evaluation about utilization of antibiotics were conducted. RESULTS： After the rectification in emergency department,the percentage of antibiotics prescriptions decreased from 47. 00% to 36. 89%. The proportion of the prescription consumption sum decreased from 42. 67% to 35. 84%, and intravenous medication decreased from35. 44% to 27. 44%,and the drug combination decreased from 9. 33% to 6. 00%. The proportion of essential drugs increased from 65. 35% to 77. 88%. As for the consumption sum and DDDs,cefuroxime and cefalexin increased,while cefmetazole,ceftazidime and cefdinir decreased significantly. CONCLUSIONS： The special rectification can promote the rational use of antibiotics in emergency department,and long term working mechanism can be established on the basis of the methods of rectification.
出处
《中国医院用药评价与分析》
2015年第10期1373-1376,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
专项整治
抗菌药物
急诊处方
Pecial rectification
Antibiotics
Emergency prescription
