831例万古霉素类药物利用分析

Analysis on the utilization of 831 cases of Vancomycin using

目的:了解万古霉素类药物的合理应用情况。方法:采用回顾性调查方法,抽取北京市地方及部队13家医院791份患者病历,分析应用万古霉素类831例次的药物利用情况。结果:治疗用药30.32%,预防用药54.87%。不合理用药病例占32.93%,其消耗金额均值明显高于其它病例。预防用药的不合理比例(36.18%)明显高于治疗用药(21.65%)。不良反应发生率3.01%。结论:万古霉素类药物目前的应用范围有所放宽,应限制预防性用药,实施保护性应用。

Objective:To investigate the rational utilization of Vancomycins.Methods: The utilization of 831 cases using Vancomyein from 13 hospital in Beijing was analysed by using retrospective analysis technique.Results: There were 30.32% of the cases for therapy and 54.87% for prevention.The rate of unreasonable cases was 32.93% and it took more money than the reasonable cases.The unreasonable rate of preventive cases(36.18%) was higher than that of therapeutic cases(21.65%).There were 25 cases of ADR(3.01%).Conclusions: It is necessary to limit the preventive use of Vancomycin and improve the level of rational utilization.