摘要
目的考察某院抗菌药物的使用现状,推进临床合理应用抗菌药物再上新台阶。方法采用观察和回顾性调查方法,根据世界卫生组织(WHO)推荐的抗菌药物合理使用国际指标(16项)及医疗机构抗菌药物临床应用月统计表国内指标(4项),对某院住院患者抗菌药物使用情况进行调研分析。结果通过干预,2014~2016年住院患者使用抗菌药物的总例数与消耗量较出院人数的增长较缓(P<0.5),抗菌药物费用占医院总费用的百分率均不高于10%,20项指标中,4项宏观指标较好,2项已达标,12项有不同程度的改善。结论某院抗菌药物的使用基本合理,医院需持续对其使用率、使用强度、手术切口预防用药、静脉输液占比等指标强化干预,鼓励药师多种模式下临床指导用药是必要的。
Object i ve To investigate the current situation of the use of antibiotics in a hospital, and to promote the rational use of antibiotics in clinic. Methods observation and retrospective survey method, according to the WHO of the rational use of antibacterial drugs recommended international index（16） and medical institutions antibacterial drug clinical application statistics monthly domestic index（4）, the patients in hospital antimicrobial drug use situation investigation and analysis. Resu Its after intervention, 2014 ~ 2016 hospitalization number and total consumption of patients used antibiotics compared to the amount of the increase in the number of discharge is slow （-P〈0.5）, antibacterial drug cost percentage of the total cost of hospital were less than 10%, 20 indicators, 4 macro indicators better, has reached 2, 12 there are different degrees of improvement. Conc I us i on the use of antibiotics in a hospital is basically reasonable, the hospital needs to be continuously use rate and intensity, the incision preventive medication, intravenous infusion proportion indexes such as strengthening the intervention, encourage pharmacists under various modes of clinical treatment is necessary.
出处
《首都食品与医药》
2017年第8期91-93,共3页
Capital Food Medicine
基金
北京市丰台区卫生系统科学研究项目(项目编号:2014-39)
关键词
抗菌药物
合理使用
国内及国际指标
调查研究
antibiotics
rational use
domesticand international indicators
investigation
