目的:了解河南省二级以上综合医院抗菌药物临床应用现状,为抗菌药物合理应用的管理提供参考.方法:采用现成资料分析法对资料进行描述性分析.结果:2012年相对2011年相比,各指标达标医院数呈上升趋势.97.3%的二级医院抗菌药物品种数≤35种,100%的三级医院抗菌药品品种数≤50种;90.75%的医院住院患者抗菌药物使用比例≤60%,86.48%的医院门诊患者抗菌药物处方率≤20%,56.94%的医院Ⅰ类切口手术抗菌药物使用比例≤30%;71.17%的医院抗菌药物使用强度≤40DDD.结论:河南省二级以上综合医院抗菌药物临床合理应用专项整治效果明显;抗菌药物品种数指标达标率很高;抗菌药物使用比例和强度需进一步加强控制.
Objective To study the status of clinical application of antibacterial drugs in secondary and tertiary hospitals in Henan Province, and provide references for reasonable use of antibacterial drugs. Methods Data was descriptively analyzed with a- vailable material analysis method. Results Species of antibacterial drugs was less than 35 in 97.3% of the secondary hospitals, while it was less than 50 in all the tertiary hospitals. The ratio of antibacterial drugs use in inpatients was less than 60% in 90. 75% of these hospitals ,while in outpatients it was less than 20% in 86.48% of these hospitals. The ratio of antibacterial drugs use in clean surgery was less than 30% in 56.94% of these hospitals. And for 71.17% of these hospitals ,the density of antibacterial drugs use was less than 40 DDD. Conclusion The special treatment action on reasonable clinical use of antibacterial drugs in secondary and tertiary hospitals in Henan Province was effective. But further management should be strengthened.