江苏省药事管理质控中心在促进医院抗菌药物合理应用中的作用

发布时间：2018-12-19 13:06

【摘要】：目的:评价江苏省药事管理质控中心在促进医院抗菌药物合理应用中的作用。方法:介绍江苏省药事管理质控中心在促进抗菌药物合理应用方面的措施;通过收集由江苏省药事管理质控中心建立的"江苏省药事管理质控网报系统"中2014年1月-2017年1月的各项抗菌药物临床应用的相关数据(如抗菌药物处方比例、住院患者抗菌药物使用率等),分析质控中心在促进抗菌药物合理应用方面的作用。结果:质控中心制订及采取的各项措施包括严格落实抗菌药物分级管理和备案制度、开展抗菌药物临床应用基本情况调查等;共纳入65家医院的抗菌药物应用数据,分析结果表明,与2014年1月比较,2017年1月各样本医院门诊抗菌药物处方比例由18.37%降低至14.63%,急诊抗菌药物处方比例由34.94%上升至37.92%;住院患者抗菌药物使用率由56.11%降低至51.28%,抗菌药物使用强度由49.74降低至44.13;甲状腺、乳腺、疝气手术抗菌药物预防使用率由35.27%降低至8.88%,介入手术诊断抗菌药物预防使用率由12.55%降低至2.46%;住院患者抗菌药物病原学送检率从48.44%上升至54.60%。结论:江苏省药事管理质控中心通过3年多的质控管理,促进了省内65家医院的抗菌药物合理应用。
[Abstract]:Objective: to evaluate the role of Jiangsu Pharmaceutical Management quality Control Center in promoting rational use of antimicrobial agents in hospitals. Methods: the measures taken by Jiangsu Pharmaceutical Management and quality Control Center to promote the rational application of antimicrobial agents were introduced. By collecting the relevant data of clinical application of antimicrobial drugs (such as the proportion of prescriptions of antibiotics) from January 2014 to January 2017 in "Jiangsu Pharmaceutical Management quality Control Network reporting system" established by Jiangsu Pharmaceutical Management and quality Control Center, This paper analyzes the role of quality control center in promoting the rational use of antimicrobial agents. Results: the measures formulated and adopted by the quality Control Center included strict implementation of the management and filing system of antimicrobial agents and investigation of the basic situation of clinical application of antimicrobial agents. A total of 65 hospitals were included in the antimicrobial application data. The results showed that, compared with January 2014, the proportion of outpatient antimicrobial prescriptions in each sample hospital decreased from 18.37% to 14.63% in January 2017. The proportion of prescriptions for emergency antibiotics increased from 34.94% to 37.92%. The utilization rate of antibiotics decreased from 56.11% to 51.28%, and the intensity of antimicrobial use decreased from 49.74 to 44.13. The rate of prophylactic use of antibiotics in thyroid, mammary gland and hernia surgery decreased from 35.27% to 8.88%, and the rate of prophylactic use of antimicrobial drugs in interventional surgery decreased from 12.55% to 2.46%. The rate of antimicrobial pathogenic examination in inpatients increased from 48.44% to 54.60%. Conclusion: through more than 3 years' quality control, Jiangsu Pharmaceutical Management quality Control Center has promoted the rational use of antimicrobial agents in 65 hospitals in the province.
【作者单位】：南京医科大学第一附属医院药学部;
【基金】：江苏高校优势学科建设工程资助项目(No.JX10231802)
【分类号】：R95

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