摘要
目的探讨监测-培训-计划(Monitoring-Training-Planning,MTP)干预模式对促进儿科社区获得性肺炎病人抗菌药物合理使用的作用。方法运用MTP模式对邵阳市中心医院普儿科2017年1月至2018年9月社区获得性肺炎住院病人抗菌药物的使用进行干预,观察干预前后各用药指标的变化,评价MTP干预法的效果。结果经过7轮MTP干预后我院普儿科社区获得性肺炎住院病人的住院药费、抗菌药物费用、抗菌药物费用占总药费百分比、联合用药率分别由2016年第四季度(干预前)的(1354.3±852.6)元、(682.4±462.6)元、50.9%、56.2%下降到2018年第四季度(干预后)的(956.0±853.5)元、(387.6±395.7)元、39.1%、29.9%,抗菌药物选药合理率由42.4%上升至88.0%,均差异有统计学意义(P<0.05)。结论MTP干预模式对促进儿科社区获得性肺炎住院病人的抗菌药物的合理使用具有显著效果,是一种提高合理用药水平的有效方法。
Objective To explore the effect of monitoring-training-planning(MTP)intervention on antibiotic use in communitya+c+quired pneumonia in children.Methods MTP mode was used to intervene the antibiotics use in hospitalized patients with comchanges of drug use indexes before and after the intervention were observed,and the effect of MTP intervention method was evaluated.Results After 7 rounds of MTP intervention,drug cost,antibacterial agents cost,the proportion of the antibiotics cost in the total drug cost,combination rate of antibacterial agents decreased from(1354.3±852.6)RMB yuan,(682.4±462.6)RMB yuan,50.9%,56.2%of fourth quarter of 2016(before intervention)to(956.0±853.5)RMB yuan,(387.6±395.7)RMB yuan,39.1%,29.9%of fourth quarter of 2018(after intervention),respectively,while rate of rational antibiotic selection increased from 42.4%to88.0%in the two years of intervention.After intervention,all the observed items improved with statistical significance(P<0.05)compared with those before intervention.Conclusion MTP intervention is effective in promoting the rational use of antibiotic of community-acquired pneumonia inpatient children.
作者
王双英
韩海英
张继红
李艳飞
银晓芳
廖刚
郭峰
伍玉萍
WANG Shuangying;HAN Haiying;ZHANG Jihong;LI Yanfei;YIN Xiaofang;LIAO Gang;GUO Feng;WU Yuping(Department of Pharmacy,Central Hospital of Shaoyang City,Shaoyang,Hunan 422000,China;Department of Pediatrics,Central Hospital of Shaoyang City,Shaoyang,Hunan 422000,China)
出处
《安徽医药》
CAS
2021年第1期191-193,共3页
Anhui Medical and Pharmaceutical Journal
基金
湖南省卫生计生委科研计划课题横向项目(B2017169)。
