摘要
目的:了解2012年7月-2015年河南省抗菌药物使用的改善情况及存在问题,促进我省临床抗菌药物使用的合理化和规范化。方法:根据全国抗菌药物临床应用监测网河南省分网数据统计功能,将我省二、三级医院2012年7月-2015年抗菌药物指标数据进行统计汇总,并与全国均值比较,分析变化趋势。结果:门诊抗菌药物使用率、门诊注射用药物使用率、住院患者抗菌药物费用我省均值均低于国家网均值,其中门诊抗菌药物使用率二、三级医院均有逐年下降的趋势,但二级医院高于三级医院;门诊注射用药物使用率三级医院高于二级医院,二、三级医院门诊注射用药物使用率2015年明显下降;全省二、三级医院4年来住院患者抗菌药物费用基本稳定。住院患者抗菌药物使用率、Ⅰ类切口抗菌药物使用率、使用天数我省较国家网均值偏高,且下降趋势不明显,住院患者抗菌药物使用强度二级医院在2015年有反弹趋势。结论:我省抗菌药物使用指标多数已接近或优于全国平均水平,但住院患者抗菌药物使用率和清洁手术相关指标仍需进一步改善,尤其应重视对二级医院的规范与管理。
Objective ：To understand the improvement and problems in antimicrobial drug use from July 2012 to2015 in Henan province so as to promote the rationalization and standardization of antibacterial drug use in clinic in the province. Methods ：The data on antimicrobial indicators of the secondary and tertiary hospitals in Henan province from July 2012 to 2015 were collected from the National Antimicrobial Drug Use Monitoring Network,compared with the national average level and analyzed for the change trend. Results ：The usage rates of antimicrobial drugs and the drugs for injection in outpatients as well as the cost of antimicrobial drugs in hospitalized patients in our province were lower than the corresponding national average levels. The usage rate of antimicrobial drugs in outpatients in the secondary and tertiary hospitals showed decreasing trends year by year, while was higher in the secondary than in the tertiary hospitals. However, the usage rate of drugs for injection in outpatients in tertiary hospitals was higher than that in the secondary hospitals, both of which decreased significantly in 2015. The costs of antimicrobial drugs in hospitalized patients were basically stable during the past 4 years. The usage rate of antimicrobial drug in hospitalized patients, antimicrobial drug usage rate for clean operation, average days for antimicrobial drug use for clean operation in our province were higher than the corresponding national average levels,while showed no significantly decreasing trends. The intensity of antimicrobial drug use in hospitalized patients in the secondary hospitals in 2015 showed a rebound trend. Conclusion ：Most of indicators of antimicrobial drug use in our province are similar or superior to the national average levels. However, the usage rate of antimicrobial drug in hospitalized patients and the indicators associated with cleaning operation still need to be further improved,especially the standardization and management of the secondary hospitals should be paid more attention.
出处
《中国执业药师》
CAS
2016年第5期3-6,17,共5页
China Licensed Pharmacist
关键词
河南省
全国抗菌药物临床应用监测网
抗菌药物指标
变化趋势
Henan Province
National Antimicrobial Drug Use Monitoring Network
Antimicrobial Indicators
Change Trend
作者简介
作者简介：安琪，女，硕士，主管药师。研究方向：抗感染药物。E-mail：48596856@qq．com
张晓坚，男，主任药师。研究方向：医院药学。通讯作者E-mail：zhxj0524@sina．com
