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目的:对我院抗菌药物注射剂用药情况进行分析,为今后该类药物的管理及合理使用提供依据。方法:采用回顾性调查方法,对我院2013年使用抗菌药物注射剂的品种、金额、用药频度(DDDs)、日均费用(DDC)等进行比较分析,找出用药规律及存在的问题。结果:在销售金额排序中头孢哌酮钠居于首位,占全部抗菌药类销售总金额的13.9%。头孢曲松钠在DDDs排序中位居首位,DDC为1.88元/天,排序比为15,说明其价格低廉,具有较好的社会效应。通过细菌耐药性分析发现头孢他啶、头孢曲松钠、头孢唑林钠、四环素等抗菌药物的耐药性很高。结论:我院患者抗菌药注射剂的使用基本合理,但也存在使用品种过于集中,患者日均费用高、细菌对部分抗菌药耐药性较高等不合理现象,在今后抗菌药的使用和管理中有待进一步改进。
OBJECTIVE: To analyze the use of antimicrobial agents in our hospital and provide the basis for the management and rational use of such drugs in the future. Methods: A retrospective survey was conducted to compare and analyze the variety, amount, frequency of DDDs, daily average cost (DDC) of antibacterial injections in our hospital in 2013 to find out the law of administration and the existing problems. Results: Cefoperazone sodium ranked first in the sales amount, accounting for 13.9% of the total sales of all antibacterial drugs. Ceftriaxone sodium ranked first in the DDDs ranking, DDC was 1.88 yuan / day, ranking ratio of 15, indicating its low price, with good social effects. Bacterial resistance analysis found that ceftazidime, ceftriaxone sodium, cefazolin sodium, tetracycline antibacterials such as high resistance. Conclusion: The use of antimicrobial injections in our hospital is basically reasonable, but there are also unreasonable phenomena such as overuse of the cultivars, high average daily costs of patients and high antibacterial resistance of some antimicrobials. In the future, the use and management of antimicrobial agents Need to be further improved.