医院等级评审对儿科抗菌药物使用的影响

Influence of Hospital Grade Assessment on Pediatric Antimicrobial Drug Use

目的评价等级医院的评审前后对该院儿科抗菌药物使用的影响。方法对该院儿科出院病历采用回顾性的调查和研究,其中2012年1月至2013年4月为评审前,2013年5月至2013年12月为评审后。结果评审前抽取510份病历,评审后抽取480份病历。评审前后总药品费用占总住院费用比例比较差异无统计学意义(P>0.05),但总抗菌药物费用占总药品费用的比例、抗菌药物的使用率、微生物的送检率、抗菌药物用药频度(DDDs)、Ⅰ类切口预防使用抗菌药物及合理用药方面比较,差异都具有明显的统计学意义(P<0.05)。结论医院等级评审有利于规范抗菌药物的使用,加强医院儿科抗菌药物应用的管理,促进抗菌药物的合理应用。

Objective To evaluate the impact of hospital grade assessment on pediatric antimicrobial drug use in the hospital. Methods A retrospective analysis was used to analyze the pediatric hospital medical records from January 2012 to December 2013, in which the first group was before hospital grade assessment from January 2012 to April 2013, the second group was after hospital grade assessment from May 2013 to December 2013. Results 510 medical records for the first group, and 480 medical records for the second group were analyzed. There was no statistically significance between the two groups in drug costs to total hospitalization expenses（ P 〉 0.05）. Meanwhile, the antimicrobial drug costs in total drug costs, utilization of antimicrobial drugs, the inspection rate of microbes, the defined daily dose of antimicrobial drug（DDDs）, the use of antimicrobial prophylaxis for the I incision and rational use of medicines had sta- tistically significant differences（ P 〈 0. 05）. Conclusion Hospital grade assessment is beneficial to standardizing the use of antimicrobial drugs, and promote rational use of antimicrobial drugs, which could strengthen the management of pediatric antimicrobial agents.