某三甲医院消化内科抗菌药物临床应用差异化指标的研究与制订
投稿时间:2016-06-21  修订日期:2016-11-11  点此下载全文
引用本文:沈钦勇,朱小兰,谢小云,宋洪涛.某三甲医院消化内科抗菌药物临床应用差异化指标的研究与制订[J].药学实践杂志,2017,35(4):379~382
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作者单位E-mail
沈钦勇 福州总医院, 福建 福州, 350025  
朱小兰 福建中医药大学, 福建 福州, 350108  
谢小云 福州总医院, 福建 福州, 350025  
宋洪涛 福州总医院, 福建 福州, 350025 sohoto@vip.163.com 
中文摘要:目的 制订本院消化内科常见疾病抗菌药物临床应用规范,确立该科抗菌药物临床应用差异化指标,从而促进消化内科常见疾病抗菌药物的合理使用。方法 回顾性抽取本院消化内科2014年全年所有住院患者共2 060例,按疾病比例从中随机抽取300份病例。根据相关治疗指南及法律法规,制订该科常见疾病的抗菌药物临床应用规范;通过分析和统计,确定该科住院患者抗菌药物使用率、使用强度,最终制订抗菌药物临床应用差异化指标。结果 该科住院患者理论抗菌药物使用率、使用强度分别为29.0%、41.5 DDDs,实际抗菌药物使用率、使用强度分别为40.3%、50.3 DDDs。结论 制订该科抗菌药物临床应用差异化指标,对提高抗菌药物临床应用水平有重要意义。
中文关键词:消化内科  抗菌药物  临床应用规范  差异化指标
 
The research and establishment of antibiotics differentiated indexes for clinical application in Department of Digestive System
Abstract:Objective To promote the rational antibacterial drug use for common digestive system (DS) diseases by reviewing the clinical application of antibacterial drugs for hospitalized patients, formulating the hospital clinical specification of antibacterial drugs for common DS diseases and establishing the clinical application of antibacterial drug differentiation index for DS department. Methods 300 cases were selected from 2 060 hospitalized DS patients in the year 2014 based on the given disease ratio. The usage rate and intensity of antibiotics were calculated with survey and medical statistical analysis. The differentiation index for the clinical application of antibacterial drugs were established. Results Theoretical values of usage rate and use intensity of antibiotics in DS department were 29.0%, 41.5 DDDs according to analysis. However, the practical values were 40.3%, 50.3 DDDs. Conclusion It is necessary to improve the level of clinical antibacterial drug use. One effective way to achieve such goal is to establish the differentiation index of antibacterial drug clinical application for the department.
keywords:Department of Digestive System  antibiotics  the clinical application specifications  differentiation index
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