北京地区二级以上医院抗微生物类国家基本药物应用分析

Utilization of the National Essential Anti-microbial Drugs in Second Class or Above Hospitals of Beijing Area

目的:了解北京地区二级以上医院抗微生物类国家基本药物的应用现状,为合理使用基本药物提供参考。方法:对北京地区19家二级以上医院抗微生物药采购数据进行统计分析。结果:抗微生物药中基本药物品种数、金额和DDDs分别占23.02%、18.17%和46.77%;头孢菌素类抗微生物药的品种数、金额和DDDs在各类抗微生物药中均居首位,且多为非基本药物;金额、DDDs排序前10位抗微生物药亦多为非基本药物,前者多数品种DDC值较高,多为注射剂,后者DDC值均相对较低,多为口服剂型。结论:北京地区二级以上医院抗微生物类国家基本药物使用较少,需加强非基本药物中头孢菌素类、DDC值较高注射剂的使用管理。

OBJECTIVE：To study the utilization of the national essential anti-microbial drugs in second class or above hospitals of Beijing area in order to provide reference for rational use ofessential drugs.METHODS：The purchasing data of anti-microbial drugs in 19 second class or above hospitals in Beijing area were analyzed statistically.RESULTS：Of all the anti-microbial drugs used,the essential drugs accounted for 23.02%,18.17% and 46.77%,respectively in terms of number of varieties,sum of money and DDDs.Of all the anti-microbial drugs used,cephalosporins took the lead in number of varieties,sum of money and DDDs,and most of which were non-essential drugs.The top 10 drugs on the consumption sum list or DDDs list were mostly non-essential drugs.Most of the top 10 anti-microbial drugs on consumption sum list were injections with high DDC whereas most of the top 10 anti-microbial drugs on DDDs list were oral medications with low DDC.CONCLUSION：The consumption of national essentialanti-microbial drugsin second class or above hospitals in Beijing area was on the lower side.It is urgent to tighten control on the use of such non-essential drugs as cephalosporins and injections with high DDC.