摘要
目的:通过统计分析某院呼吸内科住院患者2019年1月份抗菌药物使用强度达标情况,结合该科住院病历点评结果,了解2019年1月份某院呼吸内科抗菌药物使用现状和趋势[1],促进该科临床合理使用抗菌药物,为下一阶段降低该科室抗菌药物使用强度提供依据。方法:通过某院信息管理系统,收集某院呼吸内科2019年1月抗菌药物使用强度等相关数据(如:抗菌药物使用强度、前十名抗菌药物使用品规、使用频度等)进行统计分析,并结合该科平时病历检查结果进行合理性分析和评价。结果:①某院呼吸内科1月份抗菌药物使用强度为每百人/天129.95DDDs,相比目标值100超出29.95,超标较为严重。①2019年1月份某院呼吸内科抗菌药物使用频度前10位排列顺序为:头孢呋辛针0.75 g/支、头孢曲松他唑巴坦针1 g/支、头孢吡肟针0.5 g/支、头孢他啶针0.75 g/支、头孢哌酮舒巴坦针1.5 g/支、头孢呋辛针1.5 g/支、亚胺培南+西司他丁、头孢孟多针0.5 g/支、克林霉素针0.6 g/支、哌拉西林舒巴坦针1.5 g/支。结论:结合抗菌药物使用频度排序和抽查点评结果分析看出,导致抗菌药物使用强度超标的原因主要为:头孢曲松他唑巴坦针、头孢哌酮舒巴坦针、头孢吡肟针单次给药剂量偏高。
Objective:Through statistical analysis to understand the antibacterial drug use intensity of hospitalized patients in respiratory medicine department of a hospital in January 2019,combined with the evaluation results of hospital medical records of the department,to master the current situation and trend of antibacterial drug use in respiratory medicine department of a hospital in January 2019[1],to promote rational clinical use of antibacterial drugs in the department,and to provide basis for reducing the antibacterial drug use intensity in the department in the next stage.Methods:Through the information management system of a certain hospital,relevant data such as antibacterial drug use intensity in January 2019 of respiratory medicine department of a certain hospital(e.g.antibacterial drug use intensity,top ten antibacterial drug use regulations,frequency of use,etc.)were collected for statistical analysis,and rationality analysis and evaluation were conducted in combination with the usual medical record examination results of the department.Results:1.In January,the use intensity of antibacterial drugs in respiratory medicine department of a hospital was 129.95DDDs per 100 people/day,which exceeded the target value of 100 by 29.95 and exceeded the standard seriously.2.in January 2019,the top 10 orders of the use frequency of antibacterial drugs in respiratory medicine department of a hospital are:cefuroxime 0.75 g/branch,ceftriaxone tazobactam 1 g/branch,cefepime 0.5 g/branch,ceftazidime 0.75 g/branch,cefoperazone sulbactam 1.5 g/branch,cefuroxime 1.5 g/branch,imipenem+cilastatin,cefamandole 0.5 g/branch,clindamycin 0.6 g/branch,piperacillin sulbactam 1.5 g/branch.Conclusion:Combined with the ranking of the use frequency of antibacterial drugs and the analysis of random inspection and comment results,it can be seen that the main reason for the over-standard use intensity of antibacterial drugs is that the single dose of ceftriaxone tazobactam needle,cefoperazone sulbactam needle and cefepime needle is too high.
作者
李莉春
Li Lichun(Department of Pharmacy,Huizhou Sixth People's Hospital,Huizhou 516001,Guangdong)
出处
《北方药学》
2020年第4期194-195,共2页
Journal of North Pharmacy
关键词
呼吸内科
抗菌药物
使用强度
Respiratory Medicine Department
Antibiotics
Use intensity
