医院抗菌药物使用强度及其影响指标研究

Study on AUD and Its Influential Indicators in the Hospital

目的:研究影响抗菌药物使用强度(AUD)的相关指标,以降低医院抗菌药物的使用。方法:回顾性收集我院全院及呼吸科2011年1-8月与2012年1-8月的AUD及其影响指标的数据,采用Excel 2003软件电子表格进行分类、汇总及筛选,评价相关指标对AUD的影响。结果:我院2012年1-8月全院及呼吸科的AUD及相关指标较2011年1-8月均有降低趋势。结论:降低抗菌药物使用率、每日医嘱用药量与限定日剂量的比值(PDD/DDD)、人均使用累积时间、人均使用抗菌药物的品种数及平均住院时间等指标,有助于降低AUD。

OBJECTIVE： To study the relevant indicators which influence the antibacterial use density （AUD）, and to reduce the use of antibacterial in the hospital. METHODS： By retrospective study, AUD and influential indicators in respiration depart- ment of our hospital during Jan.--Aug. in 2011 and Jan.--Aug. in 2012 were collected, classified, summarized and selected by us- ing Excel 2003 software; the influence of related indicators on AUD was evaluated. RESULTS： AUD and relevant indicators in Jan. to Aug. in 2012 in the hospital and respiratory department had decreased, compared with in 2011. CONCLUSIONS： Measures which reduce the following indicators help to reduce AUD： rate of antibacterial use, ratio of prescribed daily dose to DDD （PDD/ DDD）, per capita cumulative number of days, varieties of per capita antibacterial, average hospitalization days.