苏州市某“二甲”医院门急诊抗菌药物使用分析

Analysis of Antibiotics Usage in Out-patients of Double A Class Hospital in Suzhou

目的:分析苏州市木渎人民医院门急诊抗菌药物使用情况,为规范抗菌药物在门急诊的使用与管理提供参考。方法:利用医院HIS系统检索2008—2011年间门急诊患者抗菌药物的使用情况,并运用Microsoft Office Excel2003版软件对各抗菌药物的用药频度(DDDs)值及人均DDDs值进行分析。结果:4年间门急诊抗菌药物人均DDDs为33.05,用药频度前3名科室分别为口腔科、皮肤科、感染科;抗菌药物品种的使用最多的是头孢菌素类和大环内酯类,喹诺酮类药物的使用量有下降的趋势。结论:门急诊抗菌药物的使用应严格遵循卫生部要求,合理使用。

Objective： To analyse the use of antibacterial drugs in out-patients, and to provide the reference for standard using and managing antibiotics. Methods： The use of antibacterials during 2008-2012 was analyzed with frequency of drug use（DDDs） and DDDs of average per capita. Results： The DDDs per capita of antibacterial drugs in four years was 33.05 and top three departments for drug use frequency were the department of stomatology, dermatolo- gy department and infectious disease. The most frequently used antibacterial drugs varieties were cephalosporins and macrolides. The use of quinolones declined. Conclusion： The use of antimicrobial agents should strictly follow the health requirements and they should be used reasonably.