闵行区社区卫生服务中心门诊抗菌药物的应用数据分析.docVIP

闵行区社区卫生服务中心门诊抗菌药物的应用数据分析 　　摘 要 目的：统计并分析上海市闵行区6家社区卫生服务中心2014―2015年门诊抗菌药物使用情况。方法：选取闵行区6家社区卫生服务中心门诊处方648.45万张，对处方中的药名及剂型、类别、销售金额、用药频度（DDDs）及日均费用（DDC）等进行统计分析。结果：门诊处方中，2年门诊处方中含抗菌药物的处方数为60.35万张，占总处方的9.31%；2014年抗菌药物总处方数30.17万张，占总处方的9.54%，2015年抗菌药物总处方数30.18万张，占总处方数的9.09%；2014、2015年各级抗菌药物DDDs差异不大，维持基本平稳状态；2014、2015年头孢菌素类使用金额分别占抗菌药物总金额的57.55%、59.51%，第2、第3位分别为大环内酯类及喹诺酮类；DDDs排序依次为头孢菌素类、喹诺酮类和大环内酯类。结论：通过对社区卫生服务中心门诊抗菌药物应用数据分析，希望能为临床用药提供参考，进一步提高合理使用抗菌药物水平。 　　关键词 抗菌药物；用药频度；日均费用 　　中图分类号：R969.3 文献标志码：A 文章编号：1006-1533（2017）10-0014-04 　　Analysis of application data of antimicrobial agents in the clinics of the six community health service centers in Minhang District* 　　LIU Huifang 　　（Meilong Community Health Service Center of Minhang District， Shanghai 201104， China） 　　ABSTRACT Objective： To summarize and analyze the use of antibacterial agents in the clinics of the six community health service centers in Minhang District， Shanghai from 2014 to 2015. Methods： A total of 6.4845 million prescriptions were selected from the outpatient clinics of the six community health service centers in Minhang District. The drug names， forms， categories， sale values， defined daily doses（DDDs） and the defined daily cost（DDC） were statistically analyzed. Results： The number of prescription drugs containing antimicrobials was 603 500 in the outpatient prescriptions of 2 years， accounting for 9.31% of the total prescriptions. In 2014， the total number of antimicrobial agent prescriptions was 301 700， accounting for 9.54% of the total number of prescriptions. In 2015， the total number of antimicrobial agent prescriptions was 301 800， accounting for 9.09% of the total number of prescriptions. In 2014 and 2015， there were no significant differences in the levels of antimicrobial DDDs which maintained the basic steady state. In 2014 and 2015， the amount of money of cephalosporins accounted for 57.55% and 59.51% of the aggregate amount of antimicrobial agents， respectively. The second and third antimicro