2009年医院门诊患者抗菌药物应用分析

Utilization analysis of antibiotics in outpatients of hospital in 2009

目的对医院门诊患者2009年抗菌药物的使用情况进行分析,为医院抗菌药物合理使用提供依据。方法采用销售金额及用药频度(DDDs)排序和ABC分析法,对抗菌药物的使用数据进行回顾性分析。结果抗菌药物销售金额占西药销售总金额的17.86%;头孢菌素类、喹诺酮类、青霉素类+酶抑制剂类位于抗菌药物销售金额前3位;头孢克洛分散片、阿莫西林胶囊和奥硝唑胶囊位于抗菌药物DDDs前3位;A类药品14种,销售金额占70.60%;B类药品15种,占18.80%,C类药品55种,占10.60%,A类药品主要集中在日用药金额较高的高档次品种上。结论医院抗菌药物使用中存在一定问题,应进一步规范和加强抗菌药物使用的监督管理。

OBJECTIVE To investigate and analyze the utilization of antibiotics in outpatients of our hospital and offer the guideline for clinical rational medication.METHODS The application data of antibiotics were retrieved by the methods of drug daily dosages（DDDs）,consumption amount and ABC.RESULTS The amount of antibiotics consumption took a rate of 17.86% in all drugs costs in the outpatients in 2009.Cephalosporins,quinolones and β-lactamase inhibitor compound penicillins were the top 3 kinds of the consumption sum.The top three drugs about DDDs were cefaclor tablets,amoxicillin capsule and ornidazole capsule.There were 14 drugs belong to A,15 belong to B,55 belong to C,the sale amounts respectively occupying 70.60%,18.80% and 10.60% of the total amount of antibiotics consumptions sum.In the group of A,there were concentrated on those expensive antibiotics with higher price.CONCLUSION There are a lot of problems in antibiotics usage of our hospital.It is necessary to strengthen the guidance and supervision.