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目的 :评价某肿瘤医院抗菌药物专项整治对抗菌药物临床合理使用持续改进效果。方法 :按季度抽取某肿瘤医院2012年1月至2013年12月出院患者病例,依据《2013年全国抗菌药物临床应用专项整治活动方案》指标进行回顾性评价。结果:人均使用抗菌药物品种数、人均使用抗菌药物费用、住院患者使用抗菌药物的百分率、住院患者抗菌药物使用强度、清洁手术预防用抗菌药物百分率对比分析呈现出下降趋势,具有统计学意义(P<0.05);住院患者抗菌药物使用强度、特殊使用级抗菌药物使用量占抗菌药物使用量百分率、清洁手术预防用抗菌药物人均用药天数(天)对比分析,无统计学意义(P>0.05)。结论:抗菌药物专项整治活动某肿瘤医院抗菌药物临床应用合理性不断提高。
Objective: To evaluate the special rectification of antibacterials in a tumor hospital and to improve the clinical use of antibacterials. Methods: The patients discharged from a hospital from January 2012 to December 2013 were collected on a quarterly basis. The data were retrospectively evaluated according to the indicators of “National Campaign for Specialized Antibiotics in 2013”. Results: The average number of antibacterials per capita, antimicrobial cost per capita, the percentage of antibacterials used in hospitalized patients, the intensity of antibacterials used in hospitalized patients and the percentage of antibacterials used in prophylactic cleaning showed a decreasing trend with statistical significance (P <0.05). There was no significant difference in the use intensity of antibacterials, the percentage of antibacterials used in special-use grade and the average number of antibacterials used in prophylactic antibacterials per day (days) in hospitalized patients (P> 0.05). Conclusion: The antimicrobial drug special rectification activities of a tumor hospital antimicrobial clinical application of rationality continues to increase.