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六城市抗菌药物专项整治活动前后改进成效对比
Analysis of the Effectiveness of Improvement Before and After the Special Antimicrobial Rectification of Six Chinese Cities
  
DOI:
中文关键词:  抗菌药  专项整治  成效  对比
英文关键词:Antibacterial  Special rectification  Effectiveness  Comparison
基金项目:
作者单位
王海莲 首都医科大学宣武医院药剂科(北京 100053) 
金岩 中国医学科学院北京协和医院药剂科。 
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中文摘要:
      摘 要 目的:了解全国六个城市抗菌药物专项整治活动前后的改进效果。方法:利用《医院处方分析合作项目》数据,分别对六个城市抗菌药物专项整治活动前(2010年)、整治后(2011年),门诊、急诊和住院患者使用抗菌药情况进行统计分析,采用Foxpro8.0数据库软件进行数据处理。结果:整治后,六城市不同级别医院的抗菌药金额占全部处方金额的比例、抗菌药使用率等指标较整治前均有所下降;药品使用频次占使用抗菌药人数的构成比,六城市均以头孢菌素类药最高;因地域不同,不同药品使用金额占使用抗菌药金额的构成比居第一位的药物也有所不同。抗菌药使用金额构成比居第一位的科室是呼吸科。结论:开展抗菌药物专项整治活动,对于促进临床合理使用抗菌药、优化该药临床应用结构、控制药费增长等具有重要意义。
英文摘要:
      ABSTRACT Objective:To understand the effectiveness of improvement before and after the special antimicrobial rectification of six cities in China. Methods:The data of the hospital prescriptions were used to analyze the cooperative project in 2010 and 2011 respectively before and after the rectification. The usage of antimicrobials in outpatients, emergency patients and inpatients was statistically analyzed by Foxpro 8.0 database. Results: At different levels of hospitals in Chinese six cities, the antimicrobial prescription proportion and usage rate of antibacterial drugs decreased after the rectification. The antimicrobial drug most frequently used was cephalosporins. The drugs taking the leading position in the antibiotics amount were different in different cities. The department ranking the first in the constituent ratio for the amount of antibiotics was the department of respiratory disease.Conclusion:The special rectification of antibacterial drugs was significant to the promotion of the clinical rational use of antimicrobial drugs, optimization of the structure of clinical application and control of the cost growth.
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