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某院2012年抗菌药物使用情况分析

Use of Antibacterials in a Hospital in 2012
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摘要 目的分析江西省人民医院2012年抗菌药物的使用情况,为临床合理用药和科学管理提供参考。方法根据本院HIS系统的数据资料,以限定日剂量(DDD)、用药频度(DDDs)、抗菌药物使用强度(AUD)、使用率为指标,对2012年抗菌药物的使用情况进行统计分析。结果 2012年每季度头孢菌素类抗菌药物消耗金额、DDDs排名均为第一;特殊使用级抗菌药物的使用率呈较低值。AUD、使用率均呈下降趋势,2月份最高,分别为63.25%、63.18%;12月份最低,分别为29.56%、44.16%。临床科室自签订责任状后抗菌药物AUD考核合格率明显升高,但7个科室仍存在一定问题,AUD高于控制标准。结论本院严格执行抗菌药物分级管理制度,抗菌药物总体使用日趋合理,但部分科室AUD偏高,广谱抗生素使用过于集中,应进一步加强管理。 Objective To analyze the use of antibacterials in our hospital in 2012,and to provide the reference for rational use and scientific management of antibiotics.Methods The defined daily dose(DDD),DDDs,antibacterial use density(AUD)and usage rate in our hospital in 2012 were statistically analyzed according to HIS system data.Results Consumption sum and DDDs of cephalosporins ranked first in each quarter in 2012;The usage rate of antibacterials was low,because special use level of antibacterials was strictly controlled in our hospital;The AUD and usage rate of antibacterials were highest in February(63.25%and 63.18%,respectively)and lowest in December(29.56%and 44.16%,respectively);Although the irrational use had been improved after the signing of the responsibility,AUD was higher than control standards in some clinical departments.Conclusion Because classification management system of antibacterials was strictly enforced,the overall use of antibacterials was more rational.However,AUD was higher in some clinical departments owing to the wide use of broad-spectrum antibiotics.Therefore,the management should be further strengthened.
出处 《南昌大学学报(医学版)》 CAS 2013年第8期64-69,共6页 Journal of Nanchang University:Medical Sciences
关键词 抗菌药物 限定日剂量 用药频度 使用强度 使用率 antibacterials defined daily dose DDDs antibacterial use density usage rate
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