摘要
目的总结抗菌药物临床应用责任制管理经验,更好地规范使用抗菌药物,减少细菌耐药。方法根据卫生部《关于做好全国抗菌药物临床应用专项整治活动的通知》要求,于2011下半年制定了临床科室抗菌药物应用责任书,细化科室指标,实行分级责任制管理,每月统计各临床科室抗菌药物使用率、使用强度、销售金额,将上半年(管理前)与下半年(管理后)数据进行对比分析。结果2011年上、下半年门诊抗菌药物使用率由13.6%降至9.1%,抗菌药物金额占西药金额比例由13.47%降至6.58%。住院患者抗菌药物使用率也有显著性差异。结论合理使用抗菌药物是一个系统工程,通过建立抗菌药物临床应用责任制,可以有效地规范抗菌药物的使用,对抑制细菌耐药发挥了积极、有效的作用。
Objective To summarize the experience of responsibility management of clinical application of antibiotics,so as to improve the specification for rational use of antibacterial drugs and reduce bacterial resistance.Methods According to the notification of Ministry of Health,the responsibility document of clinical application of antibacterial drugs in clinical departments was formulated in the second half year of 2011,on the clinical use of antibiotics for rectification,classification and accountable management,and the departments＇ responsibility indicators were refined with the implementation of responsibility management at different levels.Meanwhile,the utilization ratio,intensity,and the consumption sums of antibiotics in clinical departments were monthly counted and the data of the first half year of 2011（non-management group） and the second half year（management group） were compared.Results In 2011,the antibiotics usage rate in the second half year decreased to 9.1% which was 13.6% in the first half year,the proportion of consumption sums of antibiotics to the other drugs reduced from 13.47% to 6.58%.The antibiotics usage rate showed a significant difference between the two groups.Conclusion The rational use of antibacterial drugs is a systematic project.The establishment of responsibility system for management of clinical application of antibiotics can effectively regulate the use of antibacterial drugs and play a positive and effective role in the inhibition of bacterial resistance.
出处
《中国药事》
CAS
2012年第11期1220-1221,1234,共3页
Chinese Pharmaceutical Affairs
关键词
抗菌药物
责任制
管理
antibacterial drugs
responsibility system
management
