2010-2012年我院抗真菌药物使用分析.pdfVIP

20 江中西医结合杂志2014 年第24 卷第 1 期 Zhejiang JITCWM（Vol.24 No.1 2014） 2010-2012 年我院抗真菌药物使用分析 徐金波 辛传伟 袁 雍 杨秀丽 浙江省立同德医院 杭州 310012 。 摘 要 目的 分析评价我院2010—2012 年抗真菌药物利用情况 方法 通过医院信息管理系 统，对我院2010—2012 年抗真菌药的销售金额和数量进行统计分析，并计算用药 率（DDDs ）及药 品日均费用（DDC ）。结果 我院2010原2012 年抗真菌药物总销售金额逐年增加。销售总金额前2 位 ， 。 。 的是伏立康唑和氟康唑 DDDs 排序靠前的主要是特比萘芬和伊曲康唑 DDC 呈逐年下 结论 我院抗真菌药物临床应用较为合理，三唑类是临床使用最广泛的抗真菌药。部分品种存在不合理使 用现象，需加强监管。 关键词 抗真菌药物；药物利用；用药频度；日均费用 Application of Antifungal Agents in A Hospital from 2010 to 2012 XU Jinbo, XIN Chuanwei, YUAN Yong, YANG Xiuli. Tongde Hosp ital of Zhej iang Prov ince, H angz hou(310012), China ABSTRACT Objective To investigate the application of antifungal agents in Tongde hospital from 2010 to 20 12. Methods Sales amount of antifungal agents in our hospital from the period of 2010 to 20 12 were statistically an原 alyzed with data retrieved from the hospital information management system and defined daily doses （DDDs ）and defined daily cost（DDC ）were calculated. Result The total cost of antifungal agents in our hospital increased year by year from 20 10 to 20 12. Voriconazole and fluconazol were in the top of sum and terbinafine and itraconazole were in the top of DDDs. DDC was decreased year by year. Conclusion Clinical application of antifungal agents in our hospital was appropriate; triazole was the most widely used antifungal agent. Inappropriate application of some varieties of antifungal agents was also noted and should be supervised. KEY WORDS antifungal agents ；drug utilization ；defined daily doses ；defined daily cost 近年来随着免疫抑制剂、肾上腺皮质激素、广谱 参考》2008 版[3] 。对抗真菌药物的销售金额、用药频度 抗菌药等应用的增多，使得医院内真菌感染的发病 （