住院抗菌药物精细化管理实践

Practical Research of Meticulous Management of Antibiotics in the Hospital

目的抗菌药物管理是一项复杂的综合性工程,既有技术性原因,又有社会性因素,通过对住院抗菌药物使用的精细化管理,确保医院主要抗菌药物管理指标达到标准要求,实现抗菌药物的合理使用。方法近年来,医院创新管理思路,改进管理手段,从科学制定管理指标入手,利用信息化管理平台,突出抓好关键指标和重点科室管理,不断完善监督管理的跟踪问责机制,通过严管抗菌药物使用“大户”来降低抗菌药物使用率,用患者人均使用抗菌药物强度来预警抗菌药物使用的合理性。结果医院主要抗菌药物管理指标都达到国家标准要求。其中,住院使用率降至39.63%,使用强度降至22.03DDDs,一类切口手术预防使用率达到9.21%。结论通过对抗菌药物的精细化管理,抗菌药物的使用日趋合理。

Objective Antimicrobial agents management is a complex and comprehensive project,which has both technical reasons and social factors.Through the refined management of the use of antimicrobial agents in the hospital,the main management indexes of antimicrobial agents can be ensured to meet the standard requirements, and to realize the rational use of antimicrobial agents.Methods In recent years,managers of the hospital innovated management ideas,improved management methods,including the scientific establishment of management indicators,use of the information management platform to focus on the key indicators and key departments management, and constant improvement of the tracking and accountability mechanism of supervision and management,reduced use rate of antimicrobial agents by strictly controlling the antimicrobial agents use of “large users”,and early warning on the rationality of antimicrobial agents use by the patient's per capita antibiotics use density.Results The main management indicators of antibacterial agents in the hospital have met the national standards.Among them,the hospital use rate of antimicrobial agents has decreased to 39.63%,the antibiotics use density has decreased to 22.03DDDs/100 person/day,and the preventive use rate of antimicrobial agents of type I incision surgery has decreased to 9.21%.Conclusion Through the refined management of antimicrobial agents,the use of antibacterial agents is becoming more and more reasonable.