我院2010-2011年产科抗菌药物应用调查与干预研究

Investigation and Intervention of Antibacterial Used in Obstetrical Department of Our Hospital during 2010-2011

目的:评价我院产科抗菌药物的应用情况。方法:调查我院2010年1月-2011年12月所有产科住院患者病历,分析其抗菌药物应用的合理性。结果:我院产科抗菌药物使用金额大幅下降,由2010年上半年的854931.20元降至2011年下半年的76319.90元,二者相比下降超过90%;抗菌药物人均费用明显下降,2010年上半年为169.70元,而2011年下半年仅为12.52元,二者相比下降超过90%;抗菌药物应用品种、预防应用开始时间和疗程均符合《抗菌药物临床应用指导原则》规定。结论:由临床科室主任督导、药师进行医嘱点评并经医院处方点评管理小组审核、医务科给予绩效考核的多部门联合干预模式切实可行,且效果显著。

OBJECTIVE： To evaluate the application of antibacterial drugs in obstetrical department of our hospital. METH- ODS： The medical records of obstetric patients in obstetrical department of our hospital from Jan. 2010 to Dec. 2011, were an- alyzed retrospectively, and the rationality of antibacterial use was analyzed. RESULTS： The amount of antibacterial drugs was decreased significantly. The amount of antibacterial drugs was decreased from 854 931.20 yuan in the first half year of 2010 to 76 319.90 yuan in the second half year of 2011; the amount of antibacterial drugs decreased by above 90%. The cost of antibacteri- al drugs per capita was decreased significantly, that of antibacterial drugs was 169.70 yuan in 2010 and 12.52 yuan in 2011; the cost of antibacterial drugs per capita decreased by above 90%. The types, medication time and treatment course of antibacterial drugs were in line with Guidance for Clinical Use of Antibacterial Drugs. CONCLUSION： The multi-section intervention mode, in- eluding guidance of clinical section director, medical order review by pharmacists, prescription review group and performance eval- uation by section of medical affairs, is effective and feasible.