实施国家基本药物制度对合肥基层医疗卫生机构抗菌药物应用的影响

Influence of National Essential Drug System on the Application of Antibiotics in Primary Hospitals of Hefei

目的:为我国基本药物制度的实施提供参考。方法:对合肥45家基层医院2010年度抗菌药供应品种、销售和使用情况等进行统计分析,调查国家基本药物制度对合肥地区基层医院抗菌药物使用情况的影响。结果:实行国家基本药物制度的基层医院与未实行国家基本药物制度的医院药品收入占医院总收入分别为(19.5±6.7)%、(45.3±19.9)%;门诊处方金额分别为(23.85±9.83)、(50.40±26.60)元;口服剂型总用药频度(DDDs)百分比分别为73.4%、61.6%;大环内酯类抗菌药物DDDs百分比分别为14.2%、5.3%。结论:国家基本药物制度实施有利于抗菌药物的合理使用。

OBJECTIVE：To provide reference for the implementation of national essential drug system.METHODS：The varieties,sales and application of antibiotics in 45 primary hospitals in 2010 were analyzed statistically.To investigate the effects of essential drug system on the application of antibiotics in primary hospitals in Hefei.RESULTS：The proportion of drug income in total income was（19.5±6.7）% in primary hospitals where essential drug system had been implemented and（45.3±19.9）% in hospitals where essential drug system hadn＇t been adopted.The amounts of out-patient prescription were（23.85 ± 9.83） yuan and（50.40±26.60）yuan,respectively.The DDDs of oral dosage form were 73.4% and 61.6%,respectively.The proportions of the DDDs of macrolides were 14.2% and 5.3%,respectively.CONCLUSIONS：The implementation of essential drugs system is conducive to the rational use of antibiotics.