抗菌药物专项整治以来南京市二、三级医疗机构抗菌药物使用分析

Analysis of the Antibiotics Utilization after Special Rectification of Antibacterial Drugs in Second and Third Grade Hospitals in Nanjing

目的:分析抗菌药物专项整治后南京市二、三级医疗机构采购、使用抗菌药物的变化情况。方法:调取2011~2015年南京市28家二、三级医疗机构药品数据,利用Excel 2010和SPSS 20统计软件,分析各年度抗菌药物采购金额、使用频度、品种数量、给药途径等指标。结果:二、三级医疗机构抗菌药物使用存在一定差异。开展抗菌药物专项整治以后,多项指标得到改善。医疗机构抗菌药物采购金额比例均值从25.03%下降到16.89%,平均使用品种数量从58.14种下降到42.07种,使用品种趋于集中。抗菌药物使用品种数合格的医疗机构数量从4家增加到12家。抗菌药物注射剂使用比例,各级别、各类别抗菌药物使用比例均保持稳定。2014年起部分指标有反弹趋向。结论:抗菌药物专项整治活动有效地促进了抗菌药物的合理使用;但医疗机构需进一步补弱固强,发展整治成果。

Objective： To analyze the results of the implementation of special rectification of antibiotics in second and third grade hospitals in Nanjing. Methods： Data of purchase amount in these hospitals from2011 to 2015 were retrieved, and then analyzed using Excel 2010 and SPSS 20. Results： There were some differences between the two grades of hospitals. A number of indicators were improved. The proportion of antibiotics fell from 25.03% to 16.89%, the number of drug fell from 58.14 to 42.07. The number of hospital which was up to the standard of drug number increased from 4 to 12. Other indicators had no statistical changes. Some of these targets were failing again from 2014. Conclusion： The utilization of antibiotics had been improved, but need continuous strengthening.