六城市抗菌药物专项整治活动前后改进成效对比

Analysis of the Effectiveness of Improvement Before and After the Special Antimicrobial Rectification of Six Chinese Cities

目的:了解全国六个城市抗茵药物专项整治活动前后的改进效果。方法:利用《医院处方分析合作项目》数据,分别对六个城市抗菌药物专项整治活动前(2010年)、整治后(2011年),门诊、急诊和住院患者使用抗茵药情况进行统计分析,采用Foxpr08.0数据库软件进行数据处理。结果:整治后,六城市不同级别医院的抗茵药金额占全部处方金额的比例、抗茵药使用率等指标较整治前均有所下降;药品使用频次占使用抗菌药人数的构成比,六城市均以头孢菌素类药最高;因地域不同,不同药品使用金额占使用抗茵药金额的构成比居第一位的药物也有所不同。抗茵药使用金额构成比居第一位的科室是呼吸科。结论:开展抗茵药物专项整治活动,对于促进临床合理使用抗茵药、优化该药临床应用结构、控制药费增长等具有重要意义。

Objective：To understand the effectiveness of improvement before and after the special antimicrobial rectification of six cities in China. Methods： The data of the hospital prescriptions were used to analyze the cooperative pro- ject in 2010 and 2011 respectively before and after the rectification. The usage of antimicrobials in outpatients, emergency patients and inpatients was statistically analyzed by Foxpro 8.0 database. Results： At different levels of hospitals in Chinese six cities, the antimicrobial prescription proportion and usage rate of antibacterial drugs decreased after the rectification. The antimicrobial drug most frequently used was eephalosporins. The drugs taking the leading position in the antibiotics a- mount were different in different cities. The department ranking the first in the constituent ratio for the amount of antibiotics was the department of respiratory disease. Conclusion：The special rectification of antibacterial drugs was significant to the promotion of the clinical rational use of antimicrobial drugs, optimization of the structure of clinical application and control of the cost growth.