西安市14所医院Ⅰ类手术切口抗菌药物预防性应用分析
Prophylactic use of antibiotics for type Ⅰ incision surgery in 14 hospitals in Xi'an
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摘要: 目的 分析医院抗菌药物使用,为医院抗菌药物利用情况与用药趋势及合理性提供依据。方法 回顾性分析浙江省中医院2012-2014年抗菌药物使用数据,采用各类药品购入金额及用药频度(DDDs)排序和巴雷特分配律,所有数据用SPSS 13.0软件进行统计分析。结果 3年医院抗菌药物使用以口服为主,使用频度>75.00%,但使用金额<23.00%; 根据类别,抗菌药物品种数、使用金额以及使用频度最高的为头孢菌素类,日均费用以深部抗真菌药与碳青霉烯类药物为高; 按单品种计算,日均次费用前10位的品种均属于特殊使用级品种,用药频度高的品种日均次费用相对较低; 巴雷特分配律表明,A类药品8种,品种数约占13%,购入金额占50%; B类药品13~14种,品种数占21%~23%,占购入金额32%~35%,C类药品38~40种,品种数约占63%~65%,占购入金额15%~18%,A类药品主要集中在日用药金额较高的高档次品种上。结论 医院用药结构基本合理,A类药品用药亟待干预,以促进合理用药。Abstract: OBJECTIVE To investigate the use of antibiotics so as to provide guidance for reasonable clinical use of antibiotics. METHODS The data of use of antibiotics in Zhejiang Traditional Chinese Hospital were retrospectively analyzed during the period of 2012-2014; the sum of purchased drugs, order of DDDs, and Barrett distributive law were observed, and the statistical analysis of all the data was performed with the use of SPSS 13.0 software. RESULTS During the three years, the oral administration of antibiotics was dominant, the DDDs was more than 75.00%, and the use amount was less than 23.00%.According to the classification of the antibiotics, the cephalosporins were the highest in the number of types of antibiotics, use amount, and DDDs; the deep antifungal drugs and carbapenems were the highest in the daily cost.According to the single type of antibiotic, the types of antibiotics ranking the top 10 daily cost belonged to the special use class, and the daily cost of the antibiotics with high DDDs was relatively low.The Barrett distributive law indicated that 8 kinds of class A drugs accounted for 13% among the varieties of drugs and 50% among the purchase amount, 13-14 kinds of class B drugs accounted for 12%-23% among the varieties of drugs and 32%-35% among the purchase amount, and 38-40 kinds of class C drugs accounted for 63%-65% among the varieties of drugs and 15%-18% among the purchase amount; the major class A drugs were the high-grade varieties of drugs with high daily cost. CONCLUSION The use of drugs is basically reasonable in the hospital, and it is urgent to take interventions to the use of class A drugs so as to facilitate the reasonable medication.
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