论文部分内容阅读
目的:回顾分析2011-2013年北京市三级医院抗菌药物使用情况以分析在抗菌药物合理使用上取得的进展和成果。方法:收集同期每月份北京市52家三级医院数据,包括抗菌药物使用量、住院患者抗菌药物使用率、使用强度、门诊处方抗菌药物使用比例、I类切口手术抗菌药物合理使用情况等,对各月情况进行纵向比较。结果:两年来北京市抗菌药物使用量未见明显增长,其中第三代头孢菌素的用药金额比例最大为25%。住院患者抗菌药物使用率从61.39%降到43.78%,门诊处方抗菌药物使用比例降至9%左右,I类切口手术患者预防使用抗菌药物比例由74.57%下降到33.73%,手术预防使用抗菌药物在术前0.5~2h内给药的百分率由50.98%提升到93.61%,I类切口手术预防使用抗菌药物时间≤24h的比例从33.37%提升到55.97%,抗菌药物使用强度从70.37降到33.08。结论:北京市抗菌药物专项整治活动取得明显的成果,抗菌药物的使用在逐渐合理化。
OBJECTIVE: To retrospectively analyze the use of antimicrobials in tertiary hospitals in Beijing from 2011 to 2013 to analyze the progress and achievements in the rational use of antimicrobials. Methods: The data of 52 tertiary hospitals in Beijing for each month of the same period were collected, including the usage of antimicrobial agents, the usage of antimicrobial agents in hospitalized patients, the intensity of use, the proportion of antibacterials used in outpatient prescriptions and the rational use of antibacterials in type I incision surgery. Each month’s situation is compared vertically. Results: There was no significant increase in the use of antibacterial drugs in Beijing in the past two years, of which the third-generation cephalosporin was administered in the largest proportion of 25%. Inpatient antibacterials utilization rate dropped from 61.39% to 43.78%, outpatient prescription antibacterials use ratio dropped to about 9%, I class incision surgery patients to prevent the use of antimicrobial drugs decreased from 74.57% to 33.73%, the use of antimicrobial prophylaxis in surgery The percentage of preoperative 0.5 ~ 2h administration increased from 50.98% to 93.61%. The proportion of prevention of antibacterials using class I incision ≤24h increased from 33.37% to 55.97%, and the strength of antibacterials decreased from 70.37 to 33.08. Conclusion: The special rectification activities of antimicrobial drugs in Beijing have achieved remarkable results, and the use of antimicrobial agents is gradually rationalized.