摘要
目的:探讨医院抗菌药物使用强度分配方法。方法:选取2019年4-6月笔者所在医院药学部药品调剂科3321份出院患者病历,其中1327份为内科病历,1994份为外科病历。成立抗菌药物合理应用调研小组,制定合理用药评价标准,对各科室AUD进行分配。统计内、外科科室基础调研前后AUD情况。结果:内科科室中,呼吸内科不合理AUD比率最高,为31.51%,小儿神经内科不合理AUD比率最低,为5.18%;外科科室中,胸外科不合理AUD比率最高,为76.97%,肿瘤外科不合理AUD比率最低,为22.17%;外科科室最高不合理AUD比率显著高于内科科室。结论:采用基础调研,评判每个科室应消耗的合理AUD能够将极为重要的理论依据提供给医院,将具体的AUD分配给各个科室。
Objective:To explore the intensity distribution method of antibiotics in hospitals.Method:A total of 3321 medical records of discharged patients from April to June 2019 were selected,of which 1327 were medical records and 1994 were surgical records.The research group on rational use of antibiotics was established,the evaluation criteria for rational use of antibiotics was formulated,and the AUD was assigned to each department.And then the AUD before and after basic investigation in internal departments and surgical departments were analyzed.Result:Among the internal departments,the highest unreasonable AUD rate was 31.51%in respiratory medicine,and the lowest unreasonable AUD rate was 5.18%in pediatric neurology.Among surgical departments,the highest unreasonable AUD rate was 76.97%in thoracic surgery,and the lowest unreasonable AUD rate was 22.17%in tumor surgery.The highest unreasonable AUD rate in surgical departments was significantly higher than that of the internal department.Conclusion:Using basic investigation to judge the reasonable AUD consumed by each department can provide very important theoretical basis for hospitals to allocate specific AUD to each department.
作者
张志辉
何国筛
黄树栋
ZHANG Zhihui;HE Guoshai;HUANG Shudong(Yangjiang People’s Hospital,Yangjiang 529500,China)
出处
《中外医学研究》
2019年第32期176-178,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
医院抗菌药物
使用强度
分配方法
Hospital antibiotics
Use intensity
Distribution method
