抗菌药物专项整治前后我院AECOPD患者抗菌药物应用分析

发布时间：2018-01-15 22:03

本文关键词：抗菌药物专项整治前后我院AECOPD患者抗菌药物应用分析　出处：《中国药房》2015年26期 　论文类型：期刊论文

【摘要】：目的:为临床合理使用抗菌药物提供参考。方法:抽取我院呼吸科抗菌药物专项整治前(2013年9月-2014年4月)、后(2014年5-12月)收治的慢性阻塞性肺疾病急性加重期(AECOPD)患者住院病历各73份和88份,对比分析抗菌药物的使用情况,评价AECOPD患者药品使用的合理性。结果:开展抗菌药物专项整治活动后,我院AECOPD患者的抗菌药物使用强度从217.74下降至91.58,联合使用抗菌药物率由67.12%下降至6.82%,无理由更换抗菌药物率由15.07%下降至0,患者住院时间由(10.21±3.44)d缩短至(7.13±3.14)d,医疗总费用由(6 117.73±1 164.52)元减少至(4 574.82±997.28)元,药费和抗菌药费所占百分比分别由(61.83±11.49)%和(28.84±9.55)%下降至(43.52±9.97)%和(20.07±6.43)%,各项指标比较差异均具有统计学意义(P0.05),且临床治疗效果未受影响。结论:开展抗菌药物专项整治可有效提高抗菌药物的合理使用率,增强抗菌药物的针对性,节约患者的医疗成本。
[Abstract]:Objective: to provide a reference for the rational use of antimicrobial agents in clinic. Methods: before the special treatment of antimicrobial drugs in respiratory department of our hospital (September 2013-April 2014). There were 73 and 88 inpatients with acute exacerbation of chronic obstructive pulmonary disease (2014), respectively. The use of antimicrobial agents was compared and analyzed. Objective: to evaluate the rationality of drug use in patients with AECOPD. Results: after carrying out special treatment activities of antimicrobial agents. The intensity of antimicrobial use in AECOPD patients decreased from 217.74 to 91.58, and the rate of combined use of antimicrobial agents decreased from 67.12% to 6.82%. The rate of replacement of antibiotics was decreased from 15.07% to 0, and the hospitalization time was shortened from 10.21 卤3.44 to 7.13 卤3.14 days. The total medical cost decreased from 6 117.73 卤1 164.52 yuan to 4 574.82 卤997.28 yuan. The percentages of drug and antimicrobial charges decreased from 61.83 卤11.49% and 28.84 卤9.55% to 43.52 卤9.97% and (. 20.07 卤6.43%. The differences of the indexes were statistically significant (P 0.05), and the effect of clinical treatment was not affected. Conclusion: carrying out special treatment of antimicrobial agents can effectively improve the rational utilization rate of antimicrobial agents. Enhance the pertinence of antimicrobial agents and save the medical cost of patients.
【作者单位】：重庆市璧山区人民医院;
【分类号】：R978.1
【正文快照】： 慢性阻塞性肺疾病(Chronic obstructive pulmonary dis-ease,COPD)是一类以呼吸道、肺实质、肺血管等的慢性炎症为特征的疾病,表现为气流受限不完全可逆,呈进行性发展[1]。呼吸道感染等导致的COPD急性加重期(Acute exacerbationof chronic obstructive pulmonary disease,AECO

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