某院2012年度抗菌药物临床应用调查分析

Investigation on clinical antibiotics usage of a hospital in 2012

目的了解我院2012年抗菌药物使用情况,为抗菌药物的临床应用管理提供依据。方法对2012年度我院参加监测网上报的病例及处方等相关数据进行回顾总结,根据抗菌药物临床应用指导原则及卫生部相关文件规定进行合理使用分析。结果住院病人抗菌药物使用率59.78%,其中手术组使用率70.95%,非手术组使用率54.8%,门诊抗菌药物使用率14.33%。抗菌药物费用占总药费的比例是手术组22.1%、非手术组35.5%,病原学检测率61.4%。主要存在问题:抗菌药物使用适应证不严格,围手术期预防用药不规范,病原学送检率较低。结论应继续加强对抗菌药物合理使用的宣传与监管。

Objective To understand the usage of antimicrobial drugs in our hospital in 2012 ,and to provide the basis for the man-agement of clinical application of antibacterial drugs .Methods Cases and prescriptions and other relevant data recorded in the an-nual monitoring network were analyzed according to the Ministry of Health Guidelines and relevant documents .Results The rate of inpatient antimicrobial drug use was 59 .78% ,the rate of surgical group was 70 .95% ,the rate of non-surgical group was 54 . 8% ,and the rate of outpatient antimicrobial drug use was 14 .33% .Antimicrobial drugs in total drug costs ratio was 22 .1% in the surgery group ,and 35 .5% in the non-surgical group .Pathogen detection rate was 61 .4% .The major problems ware that the use of antibiotics has no strict indications ,preoperative prophylaxis was not standardized ,and pathogenic detection rate was low .Con-clusion The rational use of antimicrobial agents and regulatory advocacy should be improved .