2家县级二级医院抗菌药物使用分析

目的:了解安徽省县级二级医院抗菌药物使用情况。方法:选取安徽省某县人民医院和该县中医院,对其2013年上半年和2012年同期抗菌药物销售金额排序前10位、用药频度(DDDs)排序前10位和日均费用(DDC)变化趋势进行统计、分析。结果:从销售金额排序来看,2家县级医院抗菌药物2013年上半年较2012年同期用药结构呈现一定合理化趋势。县人民医院抗菌药物DDDs除个别药物略有升高外,其余药物DDDs 2013年上半年低于2012年同期,多数药物DDC呈下降趋势。该县中医院部分抗菌药物DDDs出现增长现象,从总体上看多数抗菌药物DDDs和DDC呈下降趋势。结论:2家县级二级医院抗菌药物使用情况有所改善,但仍需加大监管力度。

Analysis of the Application of Antibacterials in 2 Second-grade Hospitals at the County Level

OBJECTIVE ： To investigate the application of antibacterials in second-grade hospitals at the county level from Anhui province. METHODS： The application of antibacterials in county people＇s hospital （CPH） and county hospital of TCM （CHTCM） of Anhui province in the first-half year of 2012 and 2013 were analyzed in terms of top 10 antibacterials in the list of consumption sum and DDDs, the changes of DDC, etc. RESULTS： From the point of the rankings of consumption sum, the use of antibacterials in the CPH and CHTCM presented some rational trend in the first-half year of 2013 and 2012. In the CPH, DDDs of antibacterials in first-half year of 2013 was mostly lower than that in the corresponding period of 2012; however, that of a few agents was increased slightly, while the DDC of the majority showed downtrend. In the CHTCM, DDDs and DDC of the majority of antibacterials were declined, although the increase of DDDs emerged in the some agents. CONCLUSIONS： The use of antibacterials has already been ameliorated in 2 second-grade hospitals at county level, but the management should be further strengthened.