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目的了解内蒙古医科大学附属人民医院院住院患者2010年7月—2012年6月,《抗菌药物专项整治活动》前后抗菌药物使用强度情况。方法对该院住院患者2010年7月—2012年6月抗菌药物的销售金额、用药频度(DDDs)、用药强度(AUD)等进行统计分析。结果在《抗菌药物专项整治活动》后住院患者抗菌药物用药金额比活动前略有增长;AUD呈下降趋势;金额排序和AUD排序前15位中头孢菌素类均占近50%;金额排序前15位中,非限制使用抗菌药物呈增加趋势,限制使用抗菌药物呈下降趋势;AUD前15位药品中多数为非限制使用抗菌药物。结论该院抗菌药物的使用在专项整治活动后有一些好转,但仍存在使用不合理和过度使用等问题,需继续加强抗菌药物的使用管理与整治,以达到卫生部的要求。
Objective To understand the use of antimicrobial agents before and after “special antimicrobial treatment activities” from July 2010 to June 2012 inpatients of People's Hospital Affiliated to Inner Mongolia Medical University. Methods The hospitalized patients from July 2010 to June 2012 antibacterial drugs sales, medication frequency (DDDs), medication intensity (AUD) and other statistical analysis. Results The antibacterial drug dosage in hospitalized patients increased slightly after the “special antimicrobial treatment activities”; AUD showed a downward trend; the top 15 middle cephalosporins accounted for nearly 50% Among them, the non-restricted use of antimicrobial drugs showed an increasing trend, and the use of antimicrobial drugs was declining. The majority of the top 15 AUD medicines used non-restricted antimicrobial drugs. Conclusion The use of antibacterials in this hospital has some improvement after special rectification activities, but there are still some problems such as unreasonable use and overuse. The administration and remediation of antibacterials need to be continued to meet the requirements of the Ministry of Health.