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目的:了解上海地区二、三级医院抗菌药物的应用情况。方法:对上海地区10家三级医院和13家二级医院2006年抗菌药物的应用数据,包括其销售金额、品种排序、门诊应用情况和住院应用情况等进行统计、分析。结果:上海地区二、三级医院抗菌药物的应用率均有不同程度的下降,但门诊抗菌药物处方的比例、总金额占处方总金额的比例二级医院明显高于三级医院;非手术和手术住院患者应用抗菌药物的比例较高,术后用药时间大多持续3~7d。结论:应严格控制抗菌药物使用比例和时间,以保证抗菌药物应用的安全、有效和经济。
Objective: To understand the application of antibacterials in Grade II and III hospitals in Shanghai. Methods: The application data of antibacterial drugs in 10 tertiary hospitals and 13 secondary hospitals in Shanghai in 2006 were analyzed, including the sales amount, the sort of products, the outpatient application and hospitalization. Results: The application rates of antimicrobials in second and third level hospitals in Shanghai all decreased to some extent. However, the proportion of outpatient antimicrobial prescriptions and the total amount of prescriptions in secondary hospitals were significantly higher than those in tertiary hospitals. Non-surgical and Inpatient surgery patients with a higher proportion of antimicrobial agents, most of the time after treatment lasts 3 ~ 7d. Conclusion: The ratio and time of antibacterial use should be strictly controlled to ensure the safety, effectiveness and economy of antimicrobial use.