美国医疗机构抗菌药物临床应用管理策略及对我国的启示

抗菌药物管理计划的制定与实施是国外医疗机构提高抗菌药物合理使用水平的重要措施。在Pubmed等数据库文件检索的基础上，以美国疾病控制与预防中心开发的抗菌药物应用管理机制为主要研究对象，对国外医院抗菌药物管理项目及其相关评价研究从两方面进行归纳阐述，包括宏观层面管理和抗菌药物临床使用的细节管理。旨在通过借鉴国外经验，对我国医疗机构抗菌药物管理实践与研究的发展提出建议。

The management strategy of clinical use of antimicrobial agents in American medical institutions and its enlightenment for China

The formulation and implementation of antimicrobial drug management plan is an important measure for foreign medical institutions to improve the rational use of antibiotics. Based on the database retrieval of Pubmed, and so on, the application management mechanism of antimicrobial drugs developed by the US centers for disease control and prevention is taken as the main research object to summarize and expound the antibacterial drug management project and related evaluation research in foreign hospitals from two aspects, including macroscopic management and detailed management of clinical use of antibacterial drugs. This paper aims to provide suggestions for the development of antimicrobial drug management practice and research in Chinese medical institutions by referring to foreign experience.