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南京市22家医院近3年抗感染药用药状况与趋势
The Trend and Situation of the Consumption of Anti-infective Drugs in 22 Hospital in Nanjing During 2001~2003
投稿时间:2004-05-17  
DOI:
中文关键词:  抗感染药 南京地区 用药趋势 药物利用
英文关键词:Anti-infective drugs  Nanjing area  Medication trend  Drug utilization
基金项目:
王小兵
南京医科大学第一附属医院药剂科,南京210029
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中文摘要:
      目的:分析南京地区主要医院抗感染药近3年用药现状和发展趋势,为该类药物的研究、生产、销售和临床应用提供参考。方法:采用南京地区22家医院2001年-2003年的抗感染药购药信息。按金额排序法对品种和金额进行归类分析。结果:南京地区22家医院抗感染药用药金额3年内增长了近40%,其中抗生素类增长35.6%,化学合成药增长67.3%,抗真菌药增长30.24%,抗病毒药增长4.9%,抗感染中草药增长70.7%;抗寄生虫药、抗结核药及抗麻风药、消毒防腐药等呈负增长。抗生素类消耗金额及构成比最大。3年中进口与合资药品占总量的综合比例,在二、三级医院中呈下降趋势,国产药品在二级医院占60%以上并呈上升趋势、在三级医院占30%左右而呈下降趋势。结论:抗感染药的市场需求潜力巨大,但滥用抗菌药导致耐药菌株增加应引起足够重视。
英文摘要:
      Objective:To analyze the current situation and developing trend of the consumption of anti-infective drugs used in some main hospitals of Nanjing in recent three years so as to provide information for research, production, sale and clinical use of these drugs. Method: According to the order of the sum, the purchasing information of anti-infective drugs used in 22 hospitals of Nanjing during 2001 -2003 was collected an analyzed. Result:The total cost of the anti-infective drugs used in those hospitals was increased at about 40% in the three years. Among them antibiotics was increased at about 35.6% , the synthetic chemical drugs, increased at about 67.3% , fungicides, increased at about 30.24% , antivirals, increased at about 4. 9% , medicinal herbs with anti-infective effect, increased at about 70. 7% , parasiticides, antituberculotics, antileprotics, antiseptics and germicides were decreased. The largest consumption and percentage was antibiotics in the past three years, imported drugs and joint venture drugs were reported to descend in secondary or primary hospitals , and domestic drugs at secondary hospitals occupied more than 60% and showed an up-trend, but those at primary hospitals occupied 30% and showed a dropping-trend. Conclusion:Due to the large market need, the anti-infective drugs have their vast foreground of development, but enough attention should be paid to the settlement of the increase of drug-fast bacteria due to the abuse of antibiotics.
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