医院抗菌药物分级管理系统的开发与应用

Development and Application of Antimicrobial Drug Classification Management System in Hospital

目的:开发抗菌药物分级管理系统,进一步加强医院抗菌药物临床应用管理。方法:自主研发抗菌药物分级管理系统,并将其应用到抗菌药物的日常管理和监控中。结果:该系统基于Browser/Server的3层结构设计,具有人员及权限管理、用户信息维护、基础数据维护、全院抗菌药物指标统计、住院抗菌药物追踪及门诊抗菌药物追踪模块。该系统应用前、后3个月,我院抗菌药物使用强度由54.19DDDs/100人/天下降至39.27DDDs/100人/天,住院患者使用抗菌药物百分率由49.34%下降至37.06%,使用抗菌药物的出院患者病原学送检率由14.10%上升至32.24%,门诊抗菌药物处方比例由20.30%下降至14.87%。结论:抗菌药物分级管理系统可作为医院抗菌药物合理使用的工具。

OBJECTIVE：To develop antimicrobial drug classification management system in order to improve the rational use of antimicrobial drug in hospital.METHODS：Antimicrobial drug classification management system was independently developed and used in daily management and monitoring of antimicrobial drug.RESULTS：Antimicrobial drug classification management system which based on 3 levels structure of Browser/Server had functions of personnel rights management,user＇s information and basic data maintenance,statistics of antimicrobial drug index,inpatient and outpatient antimicrobial drug tracing.3 months after the application of the system,AUD of antimicrobial drug our hospital decreased from 54.19 DDDs/100 persons/day to 39.27 DDDs/100 persons/day;the percentage of antimicrobial drug of inpatients decreased from 49.34% to 37.06%;the percentage of etiological examination in discharged patients who recevied antimicrobial drugs increased from 14.10% to 32.24%;the proportion of antimicrobial drugs in prescriptions used for outpatient department decreased from 20.30% to 14.87%.CONCLUSIONS：Antimicrobial drug classification management system is a tool for reasonable use of the hospital antimicrobial.