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目的评价上海市闵行区12家社区卫生服务中心抗菌药物用药现状。方法收集12家社区卫生服务中心2014年集中采购数据,对抗菌药物品种和购药金额采用药物研究方法进行统计分析,评价用药合理性。结果 2014年抗菌药物购药总金额1 461.38万元,其中非限制、限制使用级抗菌药物分别占67.36%与32.64%。用药频度排序前3位的分别是头孢菌素类、喹诺酮类和大环内酯类。限定日费用最小的是硝咪唑类(0.85元)。结论上海市闵行区社区卫生服务中心用药基本合理,但合理使用和规范化管理任重道远,应继续加强抗菌药物的分级使用监管。
Objective To evaluate the current situation of antibacterial drugs in 12 community health service centers in Minhang District, Shanghai. Methods The centralized purchasing data of 12 community health service centers were collected in 2014, and the drug research methods were used to analyze the antibacterial drug varieties and drug purchase amount to evaluate the rationality of drug use. Results In 2014, the total amount of antimicrobial drugs purchased was 14.6138 million yuan, of which non-restricted and restricted use antibacterials accounted for 67.36% and 32.64% respectively. Frequency of medication before the top three are cephalosporins, quinolones and macrolides. The minimum day limit is nitrofurazone (0.85 yuan). Conclusion The community health service centers in Minhang District, Shanghai basically rational drug use, but the rational use and standardized management long way to go, should continue to strengthen the use of antimicrobial grading regulation.