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目的:分析苏州大学附属传染病医院住院患者抗菌药物的使用情况,为传染病医院临床合理使用抗菌药物提供参考。方法:检索医院HIS系统中2010年—2011年两年间住院患者抗菌药物使用情况,检索内容包括抗菌药物名称、规格、消耗数量与消耗金额等,并对其使用频度(DDDs)进行分析。结果:两年间抗菌药物使用率与使用强度(DDD/100人·d)分别从2010年的79.28%和166.39DDD下降到2011年的54.49%和163.73DDD;人均日费用(元)则呈上升趋势,从2010年的3268.27元上升至2011年的3972.96元;抗菌药物的使用率主要以头孢菌素类为主,2010年67.55%下降至61.06%。结论:住院患者抗菌药物存在不合理使用现象,需进一步规范抗菌药物的临床使用或须采取行政干预措施。
Objective: To analyze the use of antibacterials in hospitalized patients in Infectious Diseases Hospital Affiliated to Soochow University, and to provide references for clinical use of antibacterials in infectious diseases. Methods: To search for the use of antimicrobials in inpatients in the hospital HIS system for two years from 2010 to 2011. The contents of the search include the names, specifications, consumption and consumption of antimicrobial agents, and their frequency of use (DDDs). Results: The antimicrobial use rate and the intensity of use (DDD / 100 persons · d) decreased from 79.28% and 166.39DDD in 2010 to 54.49% and 163.73DDD in 2011 respectively. The daily average cost per person (yuan) increased , From 3268.27 yuan in 2010 rose to 3972.96 yuan in 2011; the use of antibacterial drugs mainly cephalosporins, 67.55% in 2010 dropped to 61.06%. Conclusion: There is an irrational use of antimicrobial drugs in hospitalized patients, which require further specification of the clinical use of antimicrobial agents or the need for administrative interventions.