某医院抗菌药物临床应用情况动态分析.doc

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某医院抗菌药物临床应用情况动态分析,目录1 引言22 资料与方法22.1 数据22.2 方法22.3 抗菌药物使用比例、使用强度的确定23 结果23.12007-2011年抗菌药物临床应用情况23.22011年抗菌药物临床应用情况33.32007-2011年抗菌药物病例抽查情况33.42007-2011年抗菌药物处方检查...
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某医院抗菌药物临床应用情况动态分析

目 录

1 引言 2
2 资料与方法 2
2.1 数据 2
2.2 方法 2
2.3 抗菌药物使用比例、使用强度的确定 2
3 结果 2
3.1 2007-2011年抗菌药物临床应用情况 2
3.2 2011年抗菌药物临床应用情况 3
3.3 2007-2011年抗菌药物病例抽查情况 3
3.4 2007-2011年抗菌药物处方检查情况 3
4 讨论 4
5 结论 6
致谢 7
参考文献 7


摘要:了解并分析近5年厦门市第二医院抗菌药物临床应用情况,为临床合理使用抗菌药物提供参考依据,进而促进医院抗菌药物的合理使用。通过厦门市第二医院信息科通用报表管理系统收集厦门市第二医院2007 -2011年抗菌药物使用情况,并随机抽查厦门市第二医院2007-2011年病例,进行统计分析,掌握相关措施对抗菌药物使用的干预效果。2011年相比2007年厦门市第二医院门诊抗菌药物使用率下降7.10%,住院使用率下降10.13%,Ⅰ类切口手术预防率下降15.05%,抗菌药物使用强度下降38.41DDD(DDD:成人限定日剂量),抗感染治疗标本检测率上升30.30%,抗菌药物使用合格率内科上升31.31%,外科上升42.75%,抗菌药物使用在相关措施下在不断规范化,抗菌药物合理使用比率在提高。只有不断加强抗菌药物临床应用管理,对医务人员进行规范抗菌药物使用的教育,真正落实监督管理机制,才能使得抗菌药物使用合理性显著提高,临床不合理用药的现象逐步得到改善。
关键词:厦门市第二医院;抗菌药物;临床应用

Abstract:Through understanding and analyzing the use of antimicrobial agents in Xiamen No.2 Hospital in recent years, we provide reference data to the clinical use of antimicrobial agents and promote the rational use of antimicrobial agents.Through the General Report Management System from Information Department of Xiamen No.2 Hospital, we collect the use data of antimicrobial agents from 2007 to 2011 and run a spot check about related cases of the Xiamen No.2 Hospital form 2007 to2011 in order to do statistical analysis. Finally, we master the intervention effect about related measures which were taken in use of antimicrobial agents. Compared to 2007, utilization rate of outpatient antibiotics agents in the Xiamen No.2 Hospital decreased by 7.10% in 2011 as well as inpatient utilization rate decreased by 10.13% and classⅠ incision prevention rate also fell by 5.05%. The application strength of antimicrobial agents fell 38.41 DDD(DDD: defined daily dose). Specimen detection rate increased by 30.30%. As for antimicrobial agents application pass rate, medicine increased by 31.31% and surgery increased by 42.75%. Overall, The application of antimicrobial agents has been constantly standardized due to relevant measures and the rate of rational use about antibiotics is improving in the Xiamen No.2 Hospital. Only by constantly strengthening the management of antimicrobial agents application, regularly educating the medical staff about standard application of antimicrobial agents, and a real implement of the supervision and management mechanism, can the rate of rational application of antimicrobial agents be significantly enhanced and phenomenon of irrational drug use be gradually improved.
Keywords:Xiamen No.2 Hospital; Antibiotics Agents; Clinical Application