我院心胸外科抗菌药物临床应用差异化指标的研究与制定

田婷婷; 黄爱梅; 谢小云; 宋洪涛

doi:10.3969/j.issn.1006-0111.2016.05.023

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

x 关闭永久关闭

应中央军委要求，2022年9月起，《药学实践杂志》将更名为《药学实践与服务》，双月刊，正文96页；2023年1月起，拟出版月刊，正文64页，数据库收录情况与原《药学实践杂志》相同。欢迎作者踊跃投稿！

我院心胸外科抗菌药物临床应用差异化指标的研究与制定

田婷婷, 黄爱梅, 谢小云, 宋洪涛

文章导航 > 药学实践与服务 > 2016 > 34(5): 469-473

田婷婷, 黄爱梅, 谢小云, 宋洪涛. 我院心胸外科抗菌药物临床应用差异化指标的研究与制定[J]. 药学实践与服务, 2016, 34(5): 469-473. doi: 10.3969/j.issn.1006-0111.2016.05.023

引用本文:

TIAN Tingting, HUANG Aimei, XIE Xiaoyun, SONG Hongtao. Research and establishment of antibiotics differentiated indexes in clinical application of cardiothoracic surgery in our hospital[J]. Journal of Pharmaceutical Practice and Service, 2016, 34(5): 469-473. doi: 10.3969/j.issn.1006-0111.2016.05.023

Citation:

TIAN Tingting, HUANG Aimei, XIE Xiaoyun, SONG Hongtao. Research and establishment of antibiotics differentiated indexes in clinical application of cardiothoracic surgery in our hospital[J]. Journal of Pharmaceutical Practice and Service, 2016, 34(5): 469-473. doi: 10.3969/j.issn.1006-0111.2016.05.023

我院心胸外科抗菌药物临床应用差异化指标的研究与制定

doi: 10.3969/j.issn.1006-0111.2016.05.023

1.
南京军区福州总医院药学科, 福建福州 350025
2.
福建中医药大学药学院, 福建福州 350025

Research and establishment of antibiotics differentiated indexes in clinical application of cardiothoracic surgery in our hospital

1.
Department of Pharmacy, Fuzhou General Hospital of Nanjing Region of PLA, Fuzhou 350025, China
2.
School of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, China

摘要: 目的调查心胸外科住院患者抗菌药物临床应用情况，制定心胸外科抗菌药物临床应用规范和抗菌药物临床应用差异化指标，为临床医师合理用药提供依据。方法回顾性随机调查我院2014年1-12月心胸外科300例住院患者病历，制定该院心胸外科常见疾病抗菌药物临床应用规范；分析、计算、统计抽样患者抗菌药物使用强度、使用率及Ⅰ类切口预防用抗菌药物使用率的实际值与理论值，确立差异化指标。结果我院2014年心胸外科住院患者实际抗菌药物使用率、Ⅰ类切口预防用抗菌药物使用率和抗菌药物使用强度分别为72.7%、92.6%和61.2 DDDs/（100人·d），制定的差异化指标分别为69.3%、63.0%和49.3 DDDs/（100人·d）。结论我院心胸外科住院患者抗菌药物临床应用存在无指征用药、用药品种和档次过高、给药疗程过长、联合用药或更换药物不合理等问题，需待加强管理，以促进抗菌药物临床合理应用。
- 抗菌药物 /
- 临床应用规范 /
- 差异化指标 /
- 心胸外科
Abstract: Objective To formulate the clinical application specification of antibiotics, make a deference index of antibacterial drugs in chest department according to the investigation about the antibiotics' utility situation in chest department in 2014 and provide a theoretic foundation for the clinical doctor to promote the clinical rational drug use. Methods The antibiotics' application information of 300 cases inpatients in the chest department of a hospital in 2014 were researched and analyzed through retrospection, regarding with the relevant regulations and related clinical practice guidelines, the clinical application specification of antibiotics was formulated and the analysis,calculation, statistics to the actual and theoretical value of the rate and intensity of antibiotics' application, the application rate of the prophylactic antibiotics of type I incision on the inpatients in the chest department had been done. The differentiation index of them were establish. Results The rates of the actual antibiotics' application and the prophylactic antibiotics of type I incision respectively were 72.7% and 92.6%, while the intensity of antibiotics' application was 61.2 DDDs/(100 persons·d). The deference indexes of them were developed 69.3%, 63.0% and 49.3 DDDs/(100 persons·d). Conclusions There're still much irrational places in the use of antibiotics in chest department of the hospital. It's essential to strengthen supervision in order to promote the rational use of antibiotics in clinical practice.
- anti-bacterial drug /
- the clinical application specification /
- differentiation index /
- chest depart

[1]	中华人民共和国卫生部. 抗菌药物临床应用管理办法[S]. 卫生部令[2012] 84号.
[2]	中华人民共和国卫生部,国家中医药管理局,总后卫生部. 卫生部办公厅关于做好全国抗菌药物临床应用专项整治活动的通知[Z]. 北京:中华人民共和国卫生部,2012.
[3]	中华人民共和国卫生部. 抗菌药物临床应用管理有关问题的通知[S]. 卫办医政发[2009] 38号.
[4]	段丹丹,程晶晶,丁建强. 等. 我院Ⅰ、Ⅱ、Ⅲ类切口手术围手术期应用抗菌药物调查分析[J]. 中国现代医药杂志,2014,16(5):22-26.
[5]	任建安.手术部位感染的预防[J].临床外科杂志,2007,15(9):590-591.
[6]	赵轲,陈宝钧,詹燏. 心胸外科医院感染的临床现状及病原菌耐药性探讨[J]. 中华医院感染学杂志,2012,22(7):1372-1374.
[7]	中华医学会外科学分会. 围手术期预防应用抗菌药物指南[J]. 中华外科杂志,2006,44(33):1594-1596.

[1]	黄建权, 许姜姜, 杨巧玲, 高洁, 孙华君. 调查骨科内固定取出术预防使用抗菌药物与否的差异 . 药学实践与服务, 2019, 37(1): 74-76. doi: 10.3969/j.issn.1006-0111.2019.01.017
[2]	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 . 药学实践与服务, 2017, 35(4): 379-382. doi: 10.3969/j.issn.1006-0111.2017.04.023
[3]	许弄章, 金忠华, 王志敬. 抗菌药物应用专项整治前后鲍曼不动杆菌耐药情况研究 . 药学实践与服务, 2014, 32(3): 203-205. doi: 10.3969/j.issn.1006-0111.2014.03.010
[4]	陈尚瑜, 杨建锋, 林秀丽, 陈锦珊. 解放军175医院特殊使用类抗菌药物的应用分析及管理 . 药学实践与服务, 2014, 32(4): 309-311. doi: 10.3969/j.issn.1006-0111.2014.04.021
[5]	姜攀. 我院儿科门诊抗菌药物注射剂应用分析 . 药学实践与服务, 2012, 30(6): 467-469,474. doi: 10.3969/j.issn.1006-0111.2012.06.022
[6]	何志高, 鲍思蔚, 翟晓波, 金丽. 药物利用评价指标在评价呼吸科住院患者抗菌药物用法用量合理性方面的应用 . 药学实践与服务, 2012, 30(1): 64-66. doi: 10.3969/j.issn.1006-0111.2012.01.019
[7]	陈淑敏, 田文园, 姜红. 161例患者围手术期抗菌药物应用分析 . 药学实践与服务, 2011, 29(2): 139-141,145.
[8]	余巍, 张树荣, 左国营. 骨科抗菌药物不合理应用分析 . 药学实践与服务, 2011, 29(4): 291-293,295.
[9]	战旗, 顾大伟, 徐丽丽, 陈俊, 范立青, 龚纯贵. 原发性肝癌患者介入治疗感染及抗菌药物应用分析 . 药学实践与服务, 2010, 28(2): 142-145.
[10]	徐涛, 陈敏玲, 张顺国, 沈安乐. 我院门诊抗菌药物应用分析 . 药学实践与服务, 2010, 28(6): 456-459.
[11]	刘洪涛, 韩正学, 苏静. 1087例口腔颌面外科住院病人抗菌药物应用调查分析 . 药学实践与服务, 2009, 27(6): 441-444.
[12]	张守堂, 宋广群, 李荣. 氟喹诺酮类药物抗生素后效应与合理应用 . 药学实践与服务, 2008, (6): 453-454.
[13]	王晓蕙, 陈华, 金伟华, 张丽菇. 药师谈《抗菌药物临床应用指导原则》体会与建议 . 药学实践与服务, 2007, (1): 44-45,49.
[14]	姚远兵, 蔡和平, 王卓, 胡晋红. 围手术期抗菌药物应用情况的调查分析 . 药学实践与服务, 2006, (5): 277-280.
[15]	陈洪明, 郭澄. 围手术期预防性抗菌药物的合理应用 . 药学实践与服务, 2006, (3): 156-158.
[16]	鲍引娟, 裘晓红, 涂志澄. 362例住院患者抗菌药物应用分析 . 药学实践与服务, 2006, (6): 351-353.
[17]	徐晓卫. 我院泌尿外科抗菌药物应用分析 . 药学实践与服务, 2005, (1): 43-44.
[18]	张青, 段晓琼, 党廷海. 108例妇产科围手术期病人应用抗菌药物调查分析 . 药学实践与服务, 2000, (1): 48-49.
[19]	章小敏. 抗菌药物应用与医院感染的相关性调查分析 . 药学实践与服务, 1999, (1): 44-45.
[20]	车华. 我院外科系统抗菌药物应用情况调查 . 药学实践与服务, 1997, (1): 54-57.

点击查看大图

计量

文章访问数: 2564
HTML全文浏览量: 189
PDF下载量: 470
被引次数: 0

我院心胸外科抗菌药物临床应用差异化指标的研究与制定

doi: 10.3969/j.issn.1006-0111.2016.05.023

1. 南京军区福州总医院药学科, 福建福州 350025

2. 福建中医药大学药学院, 福建福州 350025

收稿日期: 2015-08-23
修回日期: 2015-10-21

关键词:

摘要: 目的调查心胸外科住院患者抗菌药物临床应用情况，制定心胸外科抗菌药物临床应用规范和抗菌药物临床应用差异化指标，为临床医师合理用药提供依据。方法回顾性随机调查我院2014年1-12月心胸外科300例住院患者病历，制定该院心胸外科常见疾病抗菌药物临床应用规范；分析、计算、统计抽样患者抗菌药物使用强度、使用率及Ⅰ类切口预防用抗菌药物使用率的实际值与理论值，确立差异化指标。结果我院2014年心胸外科住院患者实际抗菌药物使用率、Ⅰ类切口预防用抗菌药物使用率和抗菌药物使用强度分别为72.7%、92.6%和61.2 DDDs/（100人·d），制定的差异化指标分别为69.3%、63.0%和49.3 DDDs/（100人·d）。结论我院心胸外科住院患者抗菌药物临床应用存在无指征用药、用药品种和档次过高、给药疗程过长、联合用药或更换药物不合理等问题，需待加强管理，以促进抗菌药物临床合理应用。

English Abstract

Research and establishment of antibiotics differentiated indexes in clinical application of cardiothoracic surgery in our hospital

1. Department of Pharmacy, Fuzhou General Hospital of Nanjing Region of PLA, Fuzhou 350025, China

2. School of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, China

Received Date: 2015-08-23
Rev Recd Date: 2015-10-21

Keywords:

anti-bacterial drug /
the clinical application specification /
differentiation index /
chest depart

Abstract: Objective To formulate the clinical application specification of antibiotics, make a deference index of antibacterial drugs in chest department according to the investigation about the antibiotics' utility situation in chest department in 2014 and provide a theoretic foundation for the clinical doctor to promote the clinical rational drug use. Methods The antibiotics' application information of 300 cases inpatients in the chest department of a hospital in 2014 were researched and analyzed through retrospection, regarding with the relevant regulations and related clinical practice guidelines, the clinical application specification of antibiotics was formulated and the analysis,calculation, statistics to the actual and theoretical value of the rate and intensity of antibiotics' application, the application rate of the prophylactic antibiotics of type I incision on the inpatients in the chest department had been done. The differentiation index of them were establish. Results The rates of the actual antibiotics' application and the prophylactic antibiotics of type I incision respectively were 72.7% and 92.6%, while the intensity of antibiotics' application was 61.2 DDDs/(100 persons·d). The deference indexes of them were developed 69.3%, 63.0% and 49.3 DDDs/(100 persons·d). Conclusions There're still much irrational places in the use of antibiotics in chest department of the hospital. It's essential to strengthen supervision in order to promote the rational use of antibiotics in clinical practice.

引用本文:

Citation:

TIAN Tingting, HUANG Aimei, XIE Xiaoyun, SONG Hongtao. Research and establishment of antibiotics differentiated indexes in clinical application of cardiothoracic surgery in our hospital[J]. Journal of Pharmaceutical Practice and Service, 2016, 34(5): 469-473. doi: 10.3969/j.issn.1006-0111.2016.05.023

全文HTML

参考文献 (7)

下载: 全尺寸图片幻灯片

返回文章

用微信扫码二维码

分享至好友和朋友圈

主管、主办: 中国人民解放军海军军医大学地址: 上海市杨浦区国和路325号邮政编码: 200433

电话: （021）81871324,81871397 E-mail: yxsjzzs@163.com

网站备案号沪ICP备05003363号-1

本系统由北京仁和汇智信息技术有限公司开发

留言板

我院心胸外科抗菌药物临床应用差异化指标的研究与制定

doi: 10.3969/j.issn.1006-0111.2016.05.023

Research and establishment of antibiotics differentiated indexes in clinical application of cardiothoracic surgery in our hospital

计量

出版历程

我院心胸外科抗菌药物临床应用差异化指标的研究与制定

doi: 10.3969/j.issn.1006-0111.2016.05.023

1. 南京军区福州总医院药学科, 福建 福州 350025 2. 福建中医药大学药学院, 福建 福州 350025

English Abstract

Research and establishment of antibiotics differentiated indexes in clinical application of cardiothoracic surgery in our hospital

1. Department of Pharmacy, Fuzhou General Hospital of Nanjing Region of PLA, Fuzhou 350025, China 2. School of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, China

全文HTML

目录

1. 南京军区福州总医院药学科, 福建福州 350025

2. 福建中医药大学药学院, 福建福州 350025

1. Department of Pharmacy, Fuzhou General Hospital of Nanjing Region of PLA, Fuzhou 350025, China

2. School of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, China