我院2012-2013年抗菌药物应用调查分析

Investigation and Analysis of the Use of Antibacterials in Our Hospital in the 2012~2013

目的调查分析我院抗菌药物的应用情况。方法对我院2012-2013年抗菌药物DDDs前五位药品排序;门诊患者抗菌药物处方比例、急诊患者抗菌药物处方比例、住院患者抗菌药物使用率、抗菌药物使用强度;三种检出率较高细菌耐药率进行调查分析,并随机抽取2012-2013年门诊处方共计48 000张,对抗菌药物的不合理应用情况进行统计分析。结果头孢他啶、头孢呋辛DDDs排序上升;门诊患者抗菌药物处方比例、住院患者抗菌药物使用率、抗菌药物使用强度逐年下降;三种检出率较高细菌耐药率2013年比2012年有所下降;但抗菌药物的应用仍存在不合理现象。结论建立抗菌药物临床应用管理的长效机制,抗菌药物临床合理应用能力和管理水平逐步得到提高。

Objective To investigate and analyze the use of antibacterials in our hospital. Methods The sorting of the top ifve DDDs of antibacterials in our hospital 2012-2013. Investigation and analysis of the following data： the proportion of antibacterial prescription of outpatients, the proportion of antibacterial prescription of emergency patients, the use rate of antibacterials used by hospitalized patients, antibiotics use density, the resistant rate of three highly detected bacteria. Statistics and analysis of 48 000 random samples of outpatient department prescriptions on the improper application of antibacterials.Results The sortings of DDDs of ceftazidime and cefuroxime are rising, while the proportion of antibacterial prescription of outpatients, the use rate of antibacterials used by hospitalized patients and antibiotics use density are all annually declining. The resistant rates of three highly detected bacteria in 2013 are lower than they were in 2012, however, the irrational cases that are used still exist.ConclusionA long-term mechanism should be made for clinical application of antibacterial administration. The ability and administration of Clinic Application of antibacterials will be increased.