2011~2013年某院抗菌药物专项整治效果评价

目的：分析某院2011~2013年抗菌药物专项整治情况，为巩固专项整治活动成果提出可持续管理措施。方法：采用回顾性调查方法，对2011~2013年该院门急诊及住院患者抗菌药物使用率和使用强度进行统计、分析；并对住院患者各抗菌药物使用量、Ⅰ类切口围术期预防用药情况进行对比分析。结果：2013年门诊患者抗菌药物处方比例、急诊患者抗菌药物处方比例、住院患者抗菌药物使用率、住院患者抗菌药物使用强度、Ⅰ类切口手术抗菌药物预防使用率分别由2011年的16.65%、56.51%、65.54%、66.89DDD、80.56%降至14.02%、42.60%、46.87%、42.61DDD、50.64%。住院患者大部分抗菌药物使用频度及使用强度均有所下降。结论：抗菌药物专项整治活动有效地促进了抗菌药物的合理使用；医院需进一步巩固专项整治成果。

Effect of Special Rectification Activities on Antibiotic Use From 2011 to 2013 in A Hospital

Objective： To analyze the antibiotic use and the management from 2011 to 2013 in a hospi_tal so as to put forward sustainable management measures for consolidate the achievements in special recti_fication activities. Methods： By retrospective survey, the antibiotic use rate and antibiotic use density in the outpatients, emergency patients and inpatients of the hospital from 2011 to 2013 were analyzed statictically and contrastively. The number of drug specifications in the inpatients and the drug use of prophylactic an_tibiotics for type I incision surgery were also analyzed contrastively. Results： After the rectification, the an_tibiotic use rate of outpatients, emergency patients, and inpatients, antibiotic use density of inpatients, the antibiotic use rate of prophylactic antibiotics for type I incision sergery were significantly decreased, drop_ping from 16.65%, 56.51%, 65.54%, 66.89DDD, 80.56% to 14.02%, 42.60%, 46.87%, 42.61DDD, 50.64%respectively. The DDDs and AUD of most antibiotics were also reduced. Conclusion： The special rectifica_tion activities on antibiotic use effectively promoted the rational use of antibiotics. The sustainable manage_ment in the hospital is expected to further consolidate the achievements of special rectification.