促进抗菌药物合理应用的研究--中国-瑞典抗菌药物消耗比较研究

Comparative Study of Sino-Swedish Antimicrobials Consumption

目的 分析我国医院抗菌药物消耗情况.方法 利用统计描述定量分析,比较中国医院与瑞典医院抗菌药物消耗情况.结果 2009年～ 2012年,中国医院住院患者全身用抗菌药物消耗量呈下降趋势,瑞典则轻微上升.2005年～ 2008年,中国医院ICU全身用抗菌药物消耗量明显上升,2008年～2012年下降.瑞典医院ICU全身用抗菌药物消耗量整体呈上升趋势,仅2007年～2009年略下降.中国医院住院患者抗菌药物消耗量较大的主要有三代头孢菌素类、二代头孢菌素类、青霉素类、喹诺酮类,瑞典医院住院抗菌药物消耗量较大的为青霉素类抗菌药物.结论 临床最基本、最常用的抗菌药物在中国消耗量排名并不靠前,中国医院除青霉素类以外的抗菌药物消耗量都远高于瑞典.中国医院在抗菌药物应用选择上求新、求贵、求广.

Objective To analyze antimicrobials consumption in China’s hospitals,and compare with that of Sweden.Method Statistical description was used to do quantity analysis and comparative study of Sino-Swedish antimicrobials consumption.Result The consumption of inpatient systematic antimicrobials went down between 2009 and 2012 in China,while went up slightly in Sweden.The consumption of ICU patient systematic antimicrobials went significantly up between 2005 and 2008,while went down between 2008 and 2012 in China＇s hospitals.The overall consumption of ICU patient systematic antimicrobials went up in Sweden＇s hospitals,and only went slightly down between 2007 and 2009.Inpatient antimicrobials with relatively bigger consumption in China＇s hospitals are mainly third-generation cephalosporins,second-generation cephalosporins,penicillins and fluoroquinolones.Inpatient antimicrobials consumption in Sweden＇s hospitals was mainly penicillins.Conclusion Consumption of the most basic and common antimicrobials for infectious diseases did not rank first.Except penicillins,the consumption of antimicrobials was far higher in China than that in Sweden.Many medical institutions in China seek for new,expensive,wider range of antimicrobials.