摘要
目的：回顾分析2011-2013年北京市三级医院抗菌药物使用情况以分析在抗菌药物合理使用上取得的进展和成果.方法：收集同期每月份北京市52家三级医院数据,包括抗菌药物使用量、住院患者抗菌药物使用率、使用强度、门诊处方抗菌药物使用比例、Ⅰ类切口手术抗菌药物合理使用情况等,对各月情况进行纵向比较.结果：两年来北京市抗菌药物使用量未见明显增长,其中第三代头孢菌素的用药金额比例最大为25％.住院患者抗菌药物使用率从61.39％降到43.78％,门诊处方抗菌药物使用比例降至9％左右,Ⅰ类切口手术患者预防使用抗菌药物比例由74.57％下降到33.73％,手术预防使用抗菌药物在术前0.5～2h内给药的百分率由50.98％提升到93.61％,Ⅰ类切口手术预防使用抗菌药物时间≤24h的比例从33.37％提升到55.97％,抗菌药物使用强度从70.37降到33.08.结论：北京市抗菌药物专项整治活动取得明显的成果,抗菌药物的使用在逐渐合理化.
Objective：To retrospectively analyze the use of antibacterials of tertiary hospitals in Beijing from 2011 to 2013 in order to judge the achievement of the rational had of antibacterials.Methods：The data synchronization per month of each tertiary hospital in Beijing had been collected and compared,including antibacterials usage in inpatient,antibacterials usage in outpatient,antibacterials usage in clean surgery,and the intensity of antibacterials usage.Results：The antibacterials use in Beijing did not increase significantly,of which the third-generation cephalosporins increased to 25％.The ratio of antibacterials usage in inpatient had been reduced from 61.39％ to 43.78％,the ratio of antibacterials usage in outpatient had been maintained at 9％,the ratio of prophylactic use of antibacterials in clean surgery had been decreased from 74.57％ to 33.73％,the ratio of prophylactic use of antibacterials in surgery administered within 0.5-2h before surgery had been increased from 50.98％ to 93.61％,the ratio of prophylactic use of antibacterials in clean surgery less than 24h had been increased from 33.37％ to 55.97％,the intensity of antibacterials usage had been reduced from 70.37 down to 33.08.Conclusion：The use of antibacterials in Beijing area had been more rational gradually.
出处
《临床药物治疗杂志》
2014年第5期21-26,共6页
Clinical Medication Journal
关键词
抗菌药物专项整治
抗菌药物使用强度
抗菌药物使用率
special rectification on antibacterials using
intensity of antibacterials usage
ratio of antibacterials usage
