农村地区药物销售量监测系统应用

Application of drug sale surveillance system in rural areas

目的探索在农村地区应用药物销售量监测系统进行传染病早期预警的可行性。方法于2012年4月1日起在湖北省农村地区23家药店进行药物销售量监测,监测复方感冒药、抗生素、止咳药、退烧药、止泻药5类共98种药物,计算缺报率、零报率、实报率、及时上报率等指标评价数据上报的质量。结果 23家药店共报告药物销售量288 835个包装单位,报告药物主要以复方感冒药、止咳药和抗生素为主;药店总缺报率为1.48%,总零报率为2.12%,总实报率为96.40%,总及时上报率为86.42%。结论药物销售量监测系统上报数据的质量良好,在农村开展药物销售量监测具有一定的可行性。

Objective To study the feasibility to establish a drug sale surveillance system in rural areas. Methods Totally 23 pharmacies were sampled in two rural counties in Hubei province with stratified and purposively sampling strategy. Ninety-eight drugs for cold, fever, cough, diarrhea, and inflammation were monitored from April 1,2012. The daily sale data of selected drugs in pharmacies were reported to a web-based surveillance system. Missing report rate, zero report rate, incidence report rate, and timely report rate were calculated to evaluate the quality of reported data. Results Totally 288 835 packages of drugs were registered by the system during the period. Compound cold medicine, cough sup pressants, and antibiotics were three main categories registered in the system. The total missing report rate, zero report rate, incidence report rate, and timely report rate was 1.48 % ,2. 12 % ,96.40 %, and 86. 42 %, respectively. Conclusion The quality of data reported was reliable. It was possible to establish a drug sale surveillance system in rural areas for ear ly warning of infectious disease. This study could give suggestions and evidence for developing drug sale surveillance sys tem in other countries or areas in the same settings.