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医院抗菌药物临床应用专项整治持续效果分析
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摘要:
?????? 目的 分析抗菌药物临床应用专项整治对医院住院患者抗菌药物临床用药的持续效果。方法 采用回顾性调查方法,以开展抗菌药物临床应用专项整治前后的2010—2012为研究时间,对医院住院患者抗菌药物使用率、使用强度、用药金额及清洁手术预防用药率、清洁手术术后24小时停药率进行调查及分析。结果 2010—2012年,抗菌药物使用率分别为70.0%、64.4%和49.3%,抗菌药物使用强度分别为73.3、58.2和37.9,抗菌药物用药金额占药费总额比例分别为21.9%、16.2%和11.1%;清洁手术预防用抗菌药物比率分别为95.5%、91.0%和50.3%,清洁手术术后24小时停药率分别为11.0%、27.2%和42.0%。结论 抗菌药物临床应用专项整治对抗菌药物的合理使用起到了积极的促进作用。
关键词:  抗菌药物  专项整治  合理用药
DOI:
基金项目:
Lasting Effect of a Special Antibiotic Restriction Program on Antibiotic Usage in the Hospital
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Abstract:
????? Objective To evaluate the lasting effect of the Special Antibiotic Restriction Program (SARP) on the application of antibiotic in the hospital. Methods A retrospective investigation of the percentage of antibiotic usage,antibiotic use density, antibiotic consumption,and the prophylatic application of antibiotic in type Ⅰincision operations during SARP from 2010 to 2012 was carried out. Results From 2010 to 2012,the percentage of antibiotic usage was 70.0%、64.4% and 49.3% respectively,the antibiotic use density was 73.3、58.2 and 37.9 respectively,the rate of the antibiotic cost to the total drug cost was 21.9%、16.2% and 11.1% respectively, the ratio of prophylatic application and withdrawal between 24 h of antibiotic in type Ⅰincision operations were 95.5%、91.0%,50.3% respectively and 11.0%、27.2%、42.0% respectively. Conclusion The SARP is effective to the rational use of antibiotic.
Key words:  antibiotic,special antibiotic restriction program,rational use of drugs

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