我院抗菌药物使用强度分配方式探讨

Exploration of AUD Distribution Modes of Antibiotics in Our Hospital

目的:探讨医院抗菌药物使用强度(AUD)的分配方式。方法:通过对我院2012年10-12月全院出院病历进行基础调研,收集病历中抗菌药物使用的相关数据,包括抗菌药物的用法用量、使用频次、疗程、联合用药等,计算并分析抗菌药物AUD,得出实际AUD为56.28 DDDs/100人/天、经过评判后的AUD为38.91 DDDs/100人/天。结果:五官科科室使用的不合理AUD比率最高,妇产科其次。结论:通过调研,评判出每个科室应消耗的较合理AUD,能为医院各科室分配具体的AUD提供科学合理的依据。

OBJECTIVE ： To discuss the AUD distribution modes of antibiotics in the hospital. METHODS： Through investigat ing discharged medical records in our hospital from Oct. to Dec. in 2012, the related data about the use of antibiotics were collect ed, including usage and dosage, administration frequency, treatment course as well as drug combination, etc. AUD was calculated and analyzed, and actual AUD was 56.28 DDDs, evaluated, AUD was 38.91 DDDs. RESULTS： irrational AUD of ENT depart ment occupied the highest proprotion, followed by department of gynaecology and obstetrics. CONCLUSIONS： Through the investi gation, reasonable AUD for each department can be judged to provide scientific and reasonable reference for specific allocation of AUD in each department.