某院门诊抗菌药物使用情况分析

目的了解本院2013年门诊抗菌药物的使用情况,为抗菌药物的合理应用提供参考。方法以限定日剂量（DDD）的方法,采用Excel 2003对本院2013年门诊抗菌药物使用情况,包括抗菌药物使用率、用药频度（DDDs）、门诊抗菌药物使用强度（DDD）、平均治疗日数（ATD）、日均费用（DDDc）等进行分类统计和综合分析。结果本院2013年门诊抗菌药物使用率为10.21%,门诊抗菌药物使用强度为33.64,平均治疗日数（ATD）为3.30。DDDs排前3名的抗菌药物类别分别是第二代头孢菌素、大环内酯类、第三代头孢菌素。DDDs排前3名的抗菌药物品种分别是头孢呋辛、克拉霉素、奥硝唑口服制剂。结论本院门诊抗菌药物临床应用总体基本合理,但仍存在用药档次较高、头孢菌素类使用过于集中等问题,应引起重视并持续改进。

Antibacterial Drugs Application of Outpatient Service in A Hospital

Objective To analyze the application of antibacterial drugs in out-patient service of the hospital, so as to provide reference for rational drug application. Methods Base on the defined daily dose （DDD）, the data of usage rate of antibiotics, defined daily doses （DDDs）, antibiotics use density （AUD）, average treated days （ATD）, average daily costs in 2013 of the hospital were analyzed by Excel 2003. Results The usage rate of antibiotics was 10.21%, AUD was 33.64, ATD was 3.30. The top 3 antibacterial classes of DDDs were the second generation cephalosporin, macrolides antibiotics, and the third generation cephalosporin. The top 3 Varieties of antibiotics in DDDs were oral preparations of Cefuroxim, Clarithromycin, and Ornidazole. Conclusion The clinical application of antibiotics of out-patient in the hospital was basically rational. However, there are still some problems in the application of antibiotics, and need continuous improvement.