上海崇明18家社区医院2016-2018年抗菌药物使用监测分析
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篇名: 上海崇明18家社区医院2016-2018年抗菌药物使用监测分析
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摘要: 目的:分析上海市崇明区18家社区卫生服务中心抗菌药物应用情况,以进一步加强抗菌药物合理应用。方法:应用回顾性分析方法,对上海市崇明区18家社区卫生服务中心2016年1月-2018年12月上报的抗菌药物应用监测数据及抽取出的21 600张处方进行统计分析,包括抗菌药物应用情况、用药频度(DDDs)排名前5位的抗菌药物分析及处方分析等。结果:2016-2018年上海市崇明区18家社区卫生服务的年均医疗、药品、抗菌药物总收入分别为49 049.90万、42 723.15万、4 160.29万元,门诊、住院抗菌药物年均收入分别为3 543.57万、626.21万元,抗菌药物年均消耗量为2 129 627.71、70 829.51 DDD,抗菌药物药占比9.76%,抗菌药物年均使用强度为29.41 DDD,其中抗菌药物占比(-3.27%)、门诊抗菌药物消耗量(-18.40%)、门诊患者次均开具抗菌药物量(-17.83%)、住院抗菌药物消耗量(-1.25%)及抗菌药物使用强度(-0.98%)的复合年均增长率(GAGR)为负值。3年内DDDs排名前5位的抗菌药物均为口服剂型,其中头孢呋辛、头孢克洛、左氧氟沙星、头孢丙烯的排名在3年中均列于前5位。21 600张处方中平均每张处方用药品种数为1.99个,处方平均金额为120元,抗菌药物的品种数占处方用药总品种数的8.24%,15.43%的处方使用抗菌药物,含抗菌药物的处方平均金额114.46元,使用抗菌药物总金额占处方总金额的8.24%。结论:崇明区社区卫生服务中心抗菌药物的合理使用水平持续改善,可为基层医院用药管理提供一定参考。
ABSTRACT: OBJECTIVE: To analyze the application of antibiotics in 18 community health service centers in Shanghai Chongming district, and to further strengthen rational use of antibiotics. METHODS: By retrospective analysis, statistical analysis was made on the monitoring data of antibiotic use and 21 600 prescriptions reported by 18 community health service centers in Chongming district of Shanghai from Jan. 2016 to Dec. 2018 in respect of antibiotics use, top 5 antibiotics in the list of DDDs, prescription analysis, etc. RESULTS: From 2016 to 2018, the average annual total income of medical treatment, drugs and antibiotics of 18 community health service centers in Chongming district of Shanghai were 490 499 000 yuan, 427 231 500 yuan and 41 602 900 yuan respectively. Annual average incomes of outpatient and inpatient antibiotics were 35 435 700 and 6 262 100 yuan. Annual consumption amount of antibiotics were 2 129 627.71 and 70 829.51 DDD. The proportion of antibiotics was 9.76%. Annual antibiotics use density (AUD) was 29.41 DDD. Compound annual growth rate (CAGR) was negative for antibiotics ratio (-3.27%), outpatient antibiotics consumption amount (-18.40%), antibiotics consumption amount for outpatient per time      (-17.83%), inpatient antibiotics consumption amourt (-1.25%) and AUD (-0.98%). The dosage form of top 5 antibiotics in the list of DDDs within 3 years were oral preparation, among which cefuroxime, cefaclor, levofloxacin and cefpropene were all ranked in the top five in three years. In 21 600 prescriptions, average number of drug per prescriptions was 1.99, the average amount of prescription was 120 yuan, and the number of antibiotics types used accounted for 8.24% of total drug types; 15.43% of the prescriptions used antibiotics, the average amount of the prescriptions containing antibiotics was 114.46 yuan, and the total amount of antibiotics accounted for 8.24% of the total amount of the prescriptions. CONCLUSIONS: The rational use of antibiotics in Chongming community health service center has been continuously improved, and can provide reference for drug management of primary hospitals.
期刊: 2019年第30卷第23期
作者: 胡吕萍,倪艳羡,杨忠英,徐彬,季婷婷
AUTHORS: HU Lyuping,NI Yanxian,YANG Zhongying,XU Bin,JI Tingting
关键字: 崇明区;社区;复合年均增长率;抗菌药物;用药频度;专项整治
KEYWORDS: Chongming district; Community;Compound annual growth rate; Antibiotics; DDDs; Special rectification
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