2004～2006年我院抗菌药用药分析

Analysis of Antibacterial Used in Xuanwu Hospital in 2004～2006

目的:了解分析抗菌药的用药特点、发展趋势和存在问题,促进临床合理用药。方法:利用医院药库计算机网络管理系统收集我院2004年1月～2006年12月抗菌药的出库销售数据,采用医院药品DDDs排序分析原理进行分类、统计、分析。结果:抗菌药占全院药品销售总金额的比例逐年下降。三年平均比例为17.01%,低于全国医院27.97%的平均水平;喹诺酮类药物的DDDs一直处于第一位,年平均增长率14.1%;头孢菌素类稳居第二,DDDs年平均增长率13.61%。用药金额头孢菌素类远高于喹诺酮类药。结论:我院抗菌药临床使用的总体水平正朝着趋于合理的方向发展。

Objective： To investigate the use of antibacterial in our hospital in 2004 - 2006 and analyze its features and tendency so as to provide references for the rational use. Method ： The stocked data of antibacterial from 2004 - 2006 were collected by the computer management system. The DDDs of antibacterial in our hospital were classified and analyzed according to the defined daily dose （DDD）. Result： The ratio of the antibacterial costs in the annual drug consumption sum was decreased year by year. The average ratio was 17.01% in three years, lower than the 27.97%, which was the average of total hospitals in China. The DDDs of quinolones in our hospital had been dominating the first place in 2004 -2006, and the average increase was 14.1% in three years. The second was cephalosporins with 13.61% of its average increase,similar to quinolones, but its consumption sum was more than that of quinolanes. Conclusion： The use of antibacterial in our hospital in 2004 -2006 was rational on the whole.