| 张传林,徐小婷,刘小莲.某医院 2016—2017年住院病人抗菌药物利用研究[J].安徽医药,2020,24(3):619-622. |
| 某医院 2016—2017年住院病人抗菌药物利用研究 |
| Analysis of the utilization of antibiotics in inpatients of a hospital during 2016 to 2017 |
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| DOI：10.3969/j.issn.1009?6469.2020.03.051 |
| 中文关键词: 抗菌药 药物利用评审 β内酰胺类 限定日剂量 使用强度 日均费用 用药频度 |
| 英文关键词: Anti?bacterial agents Drug utilization review Defined daily cost Defined daily doses |
| 基金项目:江西省卫生计生委科技计划项目( 20185546) |
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| 中文摘要: |
| 目的了解某医院抗菌药物临床使用情况，为抗菌药物的供应管理提供参考。方法采用回顾性分析法，对 2016年 1月至 2017年 12月江西医学高等专科学校第一附属医院住院病人抗菌药物使用强度、用药金额、用药频度、日均费用、排序比值等进行统计分析。结果该院抗菌药物使用金额占比从 13.79%下降至 12.91%、累计用药频度从 30 787.94下降为 29 435.64、抗菌药物使用强度从 40.08 DDDs·百人 -1·天-1下降至 35.75 DDDs·百人 -1·天-1。β?内酰胺类抗菌药物用量大，其中阿莫西林克拉维酸钾、头孢他啶的使用强度及金额位于前 3位，注射用拉氧头孢钠、注射用磺苄西林钠的日均费用排名在前 3位，注射用拉氧头孢钠、注射用磺苄西林钠、注射用头孢他啶的排序比较小。结论该院抗菌药物临床使用情况趋于合理，合理用药水平得到提高，但仍存在口服制剂用量少、部分抗菌药物日均费用高、使用比较集中的现象。 |
| 英文摘要: |
| Objective To explore the clinical utilization of antibiotics in a hospital in order to provide reference for supply manage?ment and guidance of clinical rational application of antibiotics.Methods Retrospective study method was used to analyze the anti? biotic use density(AUD)sales amount，defined daily doses(DDDs)，defined daily cost(DDC)and serial number ratio of anti? bacterialdrugsusedbyinpa，tients in The First Affiliated Hospital of Jiangxi Medical College from January 2016 to December 2017.Results The proportion for the sales amount of antibiotics decreased from 13.79% to 12.91%，DDDs decreased from 30 787.94 to 29 435.64 and AUD decreased from 40.08 to 35.75.Beta?lactam antibiotics were used in large quantities.Among them， the sales amount and DDDs of amoxicillin and clavulanate potassium，ceftazidime were in the top three place and the DDC of lat? amoxef，sulbenicillin took up top three，respectively.Meanwhile，the serial number ratio of latamoxef，sulbenicillin and ceftazidime was low.Conclusion The use of antibiotics in this hospital tends to be rational and the level of rational use of antibiotics has beenfurther improved.However，there are still some phenomena that oral preparations of antibiotics are less used，the DDC of some anti?biotics is high and the use is relatively concentrated， |
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