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上海市郊区6家医院抗感染药应用分析
引用本文:陈坚,张晔,林小文,朱蓓德,周卫英,杨忠英,杜蕾,黄堃. 上海市郊区6家医院抗感染药应用分析[J]. 中国医院用药评价与分析, 2012, 0(2): 106-108
作者姓名:陈坚  张晔  林小文  朱蓓德  周卫英  杨忠英  杜蕾  黄堃
作者单位:上海市松江区中心医院药剂科;上海市奉贤区中心医院药剂科;上海市金山区中心医院药剂科;上海市嘉定区中心医院药剂科;上海市青浦区中心医院药剂科;上海市崇明县中心医院药剂科;上海市食品药品监督管理局科技情报研究所
摘    要:目的:分析《卫生部办公厅关于抗菌药物临床应用管理有关问题的通知》实施前后1年,上海市郊区6家样本医院抗感染药使用状况。方法:应用金额排序法、用药频度(DDDs)排序法和变化率排序法,对上海市郊区6家样本医院抗感染药进行统计和分析。结果:实施后1年抗感染药总金额与用药总金额的百分比下降2.01%,其中氟喹诺酮类下降尤为明显,达到17.86%。但碳青霉烯类却有明显上升,达到55.56%。结论:上海市郊区6家样本医院抗感染药的管理不平衡,氟喹诺酮类管理较好,碳青酶烯类仍然需要加强管理。

关 键 词:抗感染药  应用分析  上海郊区

Utilization of Anti-infective Agents in 6 Suburban Hospitals of Shanghai
CHEN Jian,ZHANG Ye,LIN Xiao-wen,ZHU Bei-de,ZHOU Wei-ying,YANG Zhong-ying,DU Lei,HUANG. Utilization of Anti-infective Agents in 6 Suburban Hospitals of Shanghai[J]. Evaluation and Analysis of Drug-Use in Hospital of China, 2012, 0(2): 106-108
Authors:CHEN Jian  ZHANG Ye  LIN Xiao-wen  ZHU Bei-de  ZHOU Wei-ying  YANG Zhong-ying  DU Lei  HUANG
Affiliation:Kun7(1.Dept.of Pharmacy,Shanghai Songjiang District Central Hospital,Shanghai 201600,China;2.Dept.of Pharmacy,Shanghai Fengxian District Central Hospital,Shanghai 201400,China;3.Dept.of Pharmacy,Shanghai Jinshan District Central Hospital,Shanghai 201500,China;4.Dept.of Pharmacy,Shanghai Jiading District Central Hospital,Shanghai 201800,China;5.Dept.of Pharmacy,Shanghai Qingpu District Central Hospital,Shanghai 201700,China;6.Dept.of Pharmacy,Shanghai Chongming County Central Hospital,Shanghai 202150,China;7.Research Institute of Science and Technology Information of Shanghai Food and Drug Administration,Shanghai 200233,China)
Abstract:OBJECTIVE: To investigate the utilization of anti-infective drugs in six suburban hospitals of Shanghai before and(1 year) after the implementation of the Notice of Management Issues on Clinical Application of Anti-infective Drugs Issued by General Office of Ministry of Health.METHODS: The use of anti-infective drugs in six suburban hospitals of Shanghai was analyzed statistically with regard to ranking in consumption sum,DDDs(defined daily dose) and their variation rates.RESULTS: At 1 year after the issuing of the Notice of Management Issues on Clinical Application of Anti-infective Drugs,the percentage of anti-infective agents in the total in terms of consumption sum reduced by 2.01%,much as in the consumption sum of quinolones which declined by 17.86%;however,the consumption sum of carbapenems increased significantly by 55.56%.CONCLUSION: The management on anti-infective agents in these six suburban hospitals in Shanghai is unbalanced.The management on quinolones is satisfactory,yet the management on carbapenems remains to be tightened.
Keywords:Anti-infective agents  Application analysis  Shanghai suburb
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