我国四城市抗菌药物使用调研与分析

Investigation and Analysis on Antibacterial Drug Use in Four Cities of China

目的了解我国医院内抗菌药物使用和管理的状况,分析我国抗菌药物使用过程中存在的问题,并提出解决问题的可行性建议。方法按照抗菌药物合理使用国际指标,采用回顾性研究方法对北京、上海、广州和成都四城市15家医院进行抽样调研,用SPSS11.0软件进行统计分析。结果非手术住院患者抗菌药物使用率平均为49.1%,手术患者抗菌药物使用率平均为94.6%;在使用抗菌药物的住院患者中,使用抗菌药物的品种数平均为2种;住院患者抗菌药物平均费用为970.7元,占住院药品总费用的27.8%;抗菌药物平均治疗疗程为5.8天;使用抗菌药物的住院患者平均住院天数为16.8天;接受抗菌药物敏感试验的患者数占使用抗菌药物住院患者数的9.7%;门诊患者平均用药品种数为2.5个,抗菌药物使用率为21.9%,注射剂使用率为10.4%,平均用药金额为200.3元。结论本研究采用的抗菌药物合理使用国际指标调研比较客观、科学地评估了医院抗菌药物的合理使用水平,为制订干预措施提供了依据,为促进医院抗菌药物临床使用各项指标的监测提供了参考。

Objective Understand the status of antibacterial drug use and administration at hospitals of China,identify the problems in the process of use,and put forward the feasible suggestions.Methods A sampling investigation was carried out on the antibacterial rational drug use indicators of antibiotics at 15 hospitals of Beijing,Shanghai,Guangzhou and Chengdu.Data statistics was analyzed by SPSS11.0 software.Results The average frequency of antibacterial drug use for non-surgical inpatients at 15 grade-3 hospitals is 49.1%,while for surgical inpatients,the average is 94.6%.In the inpatients who used antibacterial drugs,the average number of categories is 2.The average cost of antibacterial drugs for inpatients is 970.7 Yuan,accounting for 27.8% of the total cost of all drugs.The average duration of therapy with antibacterial drugs is 5.8 days.The average number of days at hospital is 16.8 days.The ratio of patients receiving antibacterial drug-sensitivity tests is 9.7%.The average number of antibacterial drug use for outpatients is 2.5.The average percentage of antibacterial drug use is 21.9%.The average percentage of injection use is 10.4%.The average cost of drugs is 200.3 Yuan.Conclusion Using the international rational drug use indicators of antibacterial drugs can evaluate the antibacterial drug use level objectively and scientifically,provide evidence for intervention,offer reference for the monitoring of antibacterial drug use indicators.