重庆市抗菌药物使用调查及干预前后对比分析研究

发布时间：2018-02-11 00:26

本文关键词： 抗菌药干预措施对比分析　出处：《重庆医学》2017年11期 　论文类型：期刊论文

【摘要】：目的探讨干预前后重庆市使用抗菌药物的合理性与干预措施实施的效果。方法采用回顾性调查方法,以参加卫计委抗菌药物监测网重庆分网(重庆分网)的45家单位2011年上报的16 200份病例、54 000张门诊处方及年平均抗菌药物消耗量为干预前组,2012-2014年上报的48 600份病例、162 000张门诊处方及年平均抗菌药物消耗量为干预后组,对门诊抗菌药物使用率、住院患者抗菌药物使用强度、住院患者抗菌药物使用百分率、住院患者抗菌药物平均使用天数、住院患者抗菌药物联合使用率等抗菌药物合理用药指标进行回顾性对照研究,并对数据统计分析。结果各指标较干预前均逐年明显改善:除2012年门诊抗菌药物使用率、住院患者抗菌药物使用强度与2011年比较差异无统计学意义外,其余指标包括住院患者抗菌药物使用百分率、住院患者抗菌药物平均使用天数(d)、住院患者抗菌药物联合使用率与2011年比较差异均有统计学意义。结论临床药师参与临床合理用药,采取多种强有力的干预措施,规范化使用抗菌药物是可行的。
[Abstract]:Objective to explore the rationality of the use of antimicrobial agents before and after intervention in Chongqing and the effect of the intervention. 54,000 outpatient prescriptions and annual average antimicrobial consumption of 16,200 cases reported in 2011 by 45 units participating in Chongqing Sub-network of Antimicrobial drugs Surveillance Network of the Health and Family Planning Commission were 48,600 diseases reported in the pre-intervention group and 2012-2014. 162 000 outpatient prescriptions and average annual antimicrobial consumption were used in the post-intervention group. The use rate of antimicrobial drugs, the intensity of antibiotics use, the percentage of antibiotics used by inpatients, the average days of use of antibiotics in inpatients, The rational use rate of antimicrobial agents such as the combined use rate of antimicrobial agents in inpatients was studied retrospectively, and the data were statistically analyzed. Results the indexes were significantly improved year by year as compared with those before intervention: except in 2012, the utilization rate of antimicrobial agents in outpatient clinics was significantly improved. There was no significant difference in the intensity of antimicrobial use between inpatients and 2011. The other indexes included the percentage of antimicrobial use in inpatients. There were significant differences in the combined use rate of antimicrobial agents between 2011 and 2011. Conclusion Clinical pharmacists participate in rational use of antibiotics and take various powerful intervention measures. It is feasible to standardize the use of antimicrobial agents.
【作者单位】：重庆医科大学附属第一医院药学部;
【基金】：重庆市卫计委项目(2013-2-007)
【分类号】：R95

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