|
| 2005年上半年上海地区抗菌药物使用调查分析 |
| Analysis of Antibiotics Uses in Shanghai during the First Half of 2005 |
| 投稿时间：2006-06-05 修订日期：2006-07-18 |
| DOI： |
| 中文关键词: 抗菌药物 调查 上海地区 合理用药 药物利用 |
| 英文关键词:Antibiotics Investigation Shanghai area Rational drug use Drug utilization |
| 基金项目: |
| 蔡卫民 吕迁洲 张建中 丰家驹 史美玉 余自成 陶静 金知萍 叶晓芬 杨其莲 |
| 上海地区抗菌药物临床应用监测网协作组,上海200025 |
| 摘要点击次数: 1717 |
| 全文下载次数: 106 |
| 中文摘要: |
| 目的：调查分析上海地区2005年上半年抗菌药物使用情况，促进抗菌药物合理使用。方法：抽查上海地区20所二、三级医院抗菌药物管理制度、出院病历、门诊处方和使用情况。结果：抗菌药物收入总额占药品收入总额的比例为21．57～25.01％；使用率高达70％以上；头孢菌素类药物使用最多，接近于50％；病原学送检率和药敏试验率分别低于15％和9％；三级医院在平均处方金额上高出二级医院18．5％；住院病人抗菌药物DDDs以左氧氟沙星最高，各种头孢菌素类次之。结论：不合理使用抗菌药物导致医疗资源浪费的情况仍很普遍，各医院的监管力度还有待于进步加强。 |
| 英文摘要: |
| Objective: To investigate antibiotics uses in Shanghai during the first half of 2005. Method: Antibiotics management guidelines, patient records, out - patient prescriptions and uses of 20 Shanghai second- and third - class hospitals were collected. Result: The percentage of antibiotics income out of the total medication income was 21.57-25.01%. The use rate of antibiotics was as high as more than 70% , in which cephalosporin nearly acounts for 50 %. The rates of bacterial detections and drug sensitivity tests were as low as 15% and 9% , respectively. The average prescription fee in the third - class hospitals was 18.5% higher than that in the second-class hospitals. The levofloxacin of defined daily doses (DDDs) of antibiotics uses in hospitalized patients was on the top list, and was followed by several cephalosporins. Conclusion: It is still very common that irrational uses of antibiotics results in the waste of medical sources. More strict measures are needed in hospital antibiotics controls. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
