2011-2013年南通大学附属东台医院住院患者抗菌药物应用分析

目的：了解抗菌药物临床应用专项整治活动以来南通大学附属东台医院（以下简称“我院”）住院患者抗菌药物的使用情况，为临床合理用药及科学管理提供参考。方法：从我院的医院信息系统中提取2011—2013年住院患者使用抗菌药物的品种、销售金额、使用率，计算抗菌药物使用强度（ AUD）、用药频度（ DDDs）、限定日费用（ DDC）等，对全院及各临床科室的抗菌药物使用情况进行统计分析。结果：2011—2013年我院住院患者抗菌药物人均使用品种数、人均费用、使用率及AUD等呈逐年下降趋势；抗菌药物销售金额亦呈逐年下降趋势。结论：我院还需进一步加强和完善抗菌药物临床应用与管理的制度建设，将抗菌药物临床应用专项整治从阶段性活动逐步转入制度化、规范化、常规化的管理轨道，形成长效机制，促进医院抗菌药物临床应用与管理水平的持续提高。

Antibiotic Use in the Inpatients of Dongtai Hospital Affiliated to Nantong University from 2011 to 2013

OBJECTIVE：To understand the antibiotic use in the inpatients of Dongtai Hospital Affiliated to Nantong University（hereinafter referred to as“our hospital”）since the implementation of special rectification activity on antibiotic use for references of clinical rational use and scientific management of antibiotics.METHODS：The data of the antibiotic use in our hospital and each clinical department during 2011-2013 period collected from hospital information system were retrospectively analyzed with regard to number of drug variety, consumption sum, rate of antibiotic use, antibiotic use density （AUD）, DDDs and defined daily cost （DDC） etc.RESULTS：During 2011-2013 period, the average number of varieties, antibiotic cost per capita, rate of antibiotic use, AUD and consumption sum of the antibiotics showed year-on-year decrease.CONCLUSIONS：It is important to intensify and improve the system construction regarding the clinical use and management of antibiotics, gradually include the staged special rectification on clinical use of antibiotics into a institutionalized, standardized and routine management track and form a long-term working mechanism in order to promote the everlasting improvement of clinical use and management of antibiotics.