抗菌药物合理应用干预模式探讨.pdfVIP

抗菌药物合理应用干预模式探讨 王海英+，向平超，王悦，薄天慧，吝战权，荣宝华，张欣(北京大学首钢医院，北京100144) 中图分类号R97 文献标志码B 文章编号1672—2124(2013)12—1130—03 摘要 目的：探讨抗茵药物临床合理使用管理模式。方法：建立医院抗菌药物使用管理小组，采用综合干预措施，随机抽取 者抗茵药物使用率由87．93％下降至52．06％，抗茵药物使用强度由87．5DDD下降至39DDD，微生物送检率由27．06％上升至 意义。结论：宣传培训、量化指标、行政干预、监控管理等综合干预，可提高临床合理使用抗菌药物的水平，对预防医院感染起到积 极的促进作用，达到预期目标。 关键词抗茵药物；应用；干预；探讨 InterventionModelonRational ofAntibiotics Application WANG Hai—ying，XIANGPing—chao，WANGrue，BOTian—hui，LINZhan—quan，RONGBao—hua， ZHANG 100144，China) Xin(PekingUniversityShougangHospital，Beijing ABSTRACT the onclinicalrationaluseof team OBJECTIVE：To exploremanagement for onclinicalrationaluseofantibioticsin wasset and intervention responsiblemanagement hospital up comprehensive measuresweretaken．Each630medicalrecordsof 810 and in and dischargedpatients prescriptionsoutpatient before 201 after 201 selectedfora intervention(in0)andintervention(in2)were emergencydepartment randomly eontrol rateofantibioticusereducedto52．06％after with87．93％ intervention．as study．RESULTS：The compared before antibioticuse from87．5DDDto39 rateof who intervention：the density(AUD)reduced DDD：the patients received detectionincreasedfrom27．06％to rateof usein I incision pathogen 86．03％；the prophylacticdrug type reducedfrom89．55％to28．03％andtherateof antibiotic decreasedfrom53％to patients outpatient prescriptions statistical