社区医院门急诊抗菌药物应用情况调查分析

Investigation and Analysis of Antibiotic of Community Hospital

目的:对我社区卫生服务中心2009年抗菌药物应用情况进行统计分析,以便及时发现问题,更好地促进医院的科学管理和抗菌药物在临床的合理使用。方法:收集2009年1月至12月中心门急诊电子处方共47578张,对含抗菌药物的处方数、所用抗菌素种类和数量、销售金额、用药频度(DDDs)、日均费用(DDDc)值等进行统计分析。结果:使用抗菌药物处方10952张,占总处方数的23.02%,涉及抗菌药物共7类36种;抗菌药销售金额占西药销售总金额的31.04%;其中头孢菌素类零售金额超过全年抗菌药物零售金额38%,占主导地位;DDDs排序中加替沙星胶囊、头孢拉定胶囊和头孢氨苄胶囊居前3位。结论:我社区卫生服务中心使用抗菌药物基本合理,但仍需重视其安全性,进一步提高合理用药水平。

Objective： The purpose of our center in 2009 on the application of antimicrobial agents were analyzed in order to promptly identify problems,to better promote the hospital＇s scientific management and rational antimicrobial agents in clinical use.Method： January to December in 2009,Centre for Emergency Department a total of 47,578 electronic prescriptions,the number of prescriptions with antibiotics,the use of antibiotic type and quantity of sales amount of DDDs（DDDs）,average daily costs（DDDc） value,etc.statistical analysis.Result： Antibiotic prescription 10952,23.02% of the total number of prescriptions,involving a total of seven classes of antibiotics 36 species;antibacterial drug sales amount to the total amount of medicine sales 31.04%;which cephalosporins antibiotics annual retail sales exceeded 38% of the retail value,dominant;DDDs sort of gatifloxacin capsules,cephradine capsules and cephalexin capsules of the top three.Conclusion：The center basically rational use of antimicrobial drugs,but still need attention to their security,to further enhance the level of rational drug use.