2009～2010年某三级甲等医院抗菌药物使用情况分析

目的:了解某三级甲等医院各类抗菌药物的使用情况,为临床抗菌药物的合理应用及采购计划的科学制定提供参考依据.方法:通过医院信息系统收集该院2009～2010年抗菌药物的原始数据资料,采用限定日剂量法、销售金额排序法和限定日剂量数进行统计分析.结果:2010年抗菌药物品种数比2009年下降了13.64%,销售金额上升了6.01%;口服抗菌药物中克拉霉素缓释片、头孢地尼胶囊、头孢他美酯片连续2年销售金额居前3位;注射用抗菌药物中头孢替安、氨曲南、头孢硫脒连续2年销售金额居前3位.结论:2009～2010年医院抗菌药物品种数显著减少,占总体用药比例较为合理,建议继续加强合理应用抗菌药物的宣传,严格遵循《抗菌药物临床应用指导原则》,减少不合理用药现象.

Analysis of antibiotics use in a 3A grade hospital from 2009 to 2010

Objective:To investigate the antibiotics use in a 3A grade hospital, and to provide reference for rational clinical antibiotics use and scientifically establish procurement plan.Methods:Original antibiotics drug's data from the Hospital Information System of this hospital from 2009 to 2010 were collected, defined daily dose, sales amount sort and defined daily dose were used to analyze the data.Results:Comparing 2010 to 2009, the species of antibiotics drug were decreased by 13.64%, sale amounts were increased by 6.01%;Oral administration clarithromycin sustained release tablet, cefdinir capsule, and cefetamet pivoxil tablet were the top three sales amount in 2 consecutive years.Cefotiam for injection, aztreonam, cefathiamidine were the top three sales amount in 2 consecutive years.Conclusions:In the past two years, the varity number of antibiotics was decreased notably, and the ratio of antibiotics to total drugs was reasonable.The authors advise that continue to strengthen propagand of rational antibiotics use, strictly follow “Guiding Principles for Clinical Application of Antibacterial”, and reduce irrationally drug use phenomenon.