宝鸡地区28家医院专项整治前后抗菌药物应用分析

发布时间：2018-03-11 20:11

本文选题：抗菌药物　切入点：专项整治　出处：《中国药房》2015年17期 　论文类型：期刊论文

【摘要】：目的:评价宝鸡地区28家医院抗菌药物临床应用专项整治活动的效果,为持续推进抗菌药物合理应用提供参考。方法:回顾性分析专项整治前后抗菌药物临床应用各项指标,并对专项整治前后抗菌药物使用频度及销售金额进行统计。结果:经过抗菌药物专项整治,宝鸡地区28家医院抗菌药物品种数已控制在规定范围内,三级医院住院患者抗菌药物使用率及使用强度达标率分别为80%和40%,二级医院分别为34.8%和21.7%;三级医院和二级医院门诊患者抗菌药物使用达标率分别为80%和43.5%;三级医院Ⅸ类切口手术预防使用抗菌药物达标率为40%。以上指标达标率与专项整治前比较差异有统计学意义(P0.05)。二级医院Ⅸ类切口手术预防使用抗菌药物率仍较高,各级医院微生物送检率均偏低。特殊级抗菌药物在各级医院中的使用率及使用强度均显著下降,与专项整治前比较差异有统计学意义(P0.05);同时人均抗菌药物消耗金额以及抗菌药物销售金额占药品总销售金额的比例显著下降,与专项整治前比较差异有统计学意义(P0.05)。结论:宝鸡地区各级医院经专项整治活动,其抗菌药物临床应用情况较整治前改善明显,三级医院优于二级医院,但部分指标较专项整治活动方案要求仍有较大差距。
[Abstract]:Objective: to evaluate the effect of clinical application of antimicrobial drugs in 28 hospitals in Baoji area, and to provide a reference for the rational application of antimicrobial agents. Methods: the indexes of clinical application of antimicrobial agents before and after special treatment were analyzed retrospectively. The frequency of use of antimicrobial agents and the amount of money sold before and after special treatment were counted. Results: after special treatment of antimicrobials, the number of antimicrobial drugs in 28 hospitals in Baoji area has been controlled within the prescribed range. The rates of antimicrobial usage and intensity of antibiotics were 80% and 40, 34.8% and 21.7in the second class hospital, 80% and 43.5 in the outpatient department of the third class hospital and the second class hospital, respectively, and the rate of the third class doctor was 80% and 43.5% respectively, and that of the second-level hospital was 34.8% and 21.70.The rate of using antibiotics was 80% and 43.5 respectively. The rate of using antimicrobial drugs to prevent surgical treatment of class IX incision was 40. The difference between the above indexes and that before special treatment was statistically significant (P 0.05). The rate of prophylactic use of antimicrobial drugs in class IX incision surgery in the second class hospital was still high. The rate of microbiological examination in hospitals at all levels was on the low side, and the utilization rate and intensity of special class antibiotics in hospitals at all levels decreased significantly. The difference was statistically significant compared with that before special treatment, and the consumption amount of antimicrobial agents per capita and the proportion of the sum of antimicrobial drug sales to the total amount of drug sales decreased significantly. Conclusion: the clinical application of antimicrobial agents in hospitals at all levels in Baoji area is better than that before treatment, and the third level hospital is superior to the second class hospital. But some of the indicators are still a big gap compared with the requirements of the special rectification program.
【作者单位】：宝鸡市中心医院临床药学室;
【基金】：陕西省卫生厅卫生科研基金项目(No.2010H42)
【分类号】：R95

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