摘要
目的:调查分析上海地区2005年上半年抗菌药物使用情况,促进抗菌药物合理使用。方法:抽查上海地区20所二、三级医院抗菌药物管理制度、出院病历、门诊处方和使用情况。结果:抗菌药物收入总额占药品收入总额的比例为21．57—25．01％;使用率高达70％以上;头孢菌素类药物使用最多,接近于50％;病原学送检率和药敏试验率分别低于15％和9％;三级医院在平均处方金额上高出二级医院18．5％;住院病人抗菌药物DDDs以左氧氟沙星最高,各种头孢菌素类次之。结论:不合理使用抗菌药物导致医疗资源浪费的情况仍很普遍,各医院的监管力度还有待于进步加强。
Objective： To investigate antibiotics uses in Shanghai during the first half of 2005. Method： Antibiotics management guidelines, patient records, out - patient prescriptions and uses of 20 Shanghai second- and third - class hospitals were collected. Result： The percentage of antibiotics income out of the total medication income was 21.57- 25.01%. The use rate of antibiotics was as high as more than 70%, in which cephalosporin nearly acounts for 50 %. The rates of bacterial detections and drug sensitivity tests were as low as 15% and 9%, respectively. The average prescription fee in the third - class hospitals was 18.5% higher than that in the second-class hospitals. The levofloxacin of defined daily doses （DDDs）of antibiotics uses in hospitalized patients was on the top list, and was followed by several cephalosporins. Conclusion： It is still very common that irrational uses of antibiotics results in the waste of medical sources. More strict measures are needed in hospital antibiotics controls.
出处
《药物流行病学杂志》
CAS
2006年第4期227-230,共4页
Chinese Journal of Pharmacoepidemiology
关键词
抗菌药物
调查
上海地区
合理用药
药物利用
Antibiotics
Investigation
Shanghai area
Rational drug use
Drug utilization
