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目的分析各类抗感染药物的使用情况,为基层医疗机构合理应用抗感染药物及科学制定采购计划提供参考。方法收集我部2003～2005年“门诊机构卫生信息管理系统”的原始数据资料,采用限定日剂量法和销售金额排序法进行分析。结果①我部2003～2005年抗感染药物的品种基本持平,2004年大环内酯类品种有所增加;②抗感染药销售金额占我部全年西药销售金额15%。青霉素类销售金额居第1位,在抗感染药物中所占的比例为42.79%,其主要品种是阿莫西林胶囊;③青霉素类、头孢菌素类、大环内酯类、喹诺酮类是使用频度最高的4类抗感染药,氨基糖苷类有下降趋势。结论针对社区感染性疾病的病原菌可适当更替新一代抗感染药物,建议加强对病原菌及其耐药性监测,强化合理用药意识。
Objective To analyze the use of various anti-infective drugs and provide references for rational use of anti-infective drugs in primary medical institutions and for the scientific preparation of procurement plans. Methods The raw data of the outpatient department health information management system from 2003 to 2005 were collected and analyzed by the method of limit daily dose and sales amount ranking. Results ① The varieties of anti-infective drugs from 2003 to 2005 were basically the same in our department, and the macrolide varieties increased in 2004; ② The sales amount of anti-infective drugs accounted for 15% of the sales amount of western medicine in the whole year. Penicillins sales amount ranked No. 1, anti-infective drugs in the proportion of 42.79%, the main species is amoxicillin capsules; ③ penicillins, cephalosporins, macrolides, quinolones is the use of The highest frequency of 4 anti-infectives, aminoglycosides have a downward trend. Conclusion The pathogen of infectious diseases in community can replace the new generation of anti-infectives properly. It is suggested to strengthen the monitoring of pathogens and their drug resistance and to strengthen the sense of rational drug use.