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目的分析我国医院抗菌药物消耗情况。方法利用统计描述定量分析,比较中国医院与瑞典医院抗菌药物消耗情况。结果 2009年~2012年,中国医院住院患者全身用抗菌药物消耗量呈下降趋势,瑞典则轻微上升。2005年~2008年,中国医院ICU全身用抗菌药物消耗量明显上升,2008年~2012年下降。瑞典医院ICU全身用抗菌药物消耗量整体呈上升趋势,仅2007年~2009年略下降。中国医院住院患者抗菌药物消耗量较大的主要有三代头孢菌素类、二代头孢菌素类、青霉素类、喹诺酮类,瑞典医院住院抗菌药物消耗量较大的为青霉素类抗菌药物。结论 临床最基本、最常用的抗菌药物在中国消耗量排名并不靠前,中国医院除青霉素类以外的抗菌药物消耗量都远高于瑞典。中国医院在抗菌药物应用选择上求新、求贵、求广。
Objective To analyze the antimicrobial consumption in our hospital. Methods Quantitative analysis using statistical description to compare the Chinese hospital and Swedish hospital antimicrobial consumption. Results From 2009 to 2012, the systemic antimicrobial consumption in hospitalized Chinese patients showed a downward trend, while that in Sweden increased slightly. From 2005 to 2008, the consumption of antimicrobial drugs in Chinese hospitals ICU increased significantly from 2008 to 2012. The overall consumption of antimicrobial drugs by Swedish hospital ICU showed an overall upward trend, only slightly decreasing from 2007 to 2009. Chinese hospital inpatient antibacterial drug consumption are larger third-generation cephalosporins, second-generation cephalosporins, penicillins, quinolones, Swedish hospital hospital antibacterial drug consumption for penicillins antibacterial drugs. Conclusion The most basic and most commonly used antimicrobial agents in clinical practice in China are not ranked in the top rank in consumption. Antibacterial drug consumption in Chinese hospitals other than penicillins is much higher than that in Sweden. Chinese hospitals in the choice of antimicrobial drugs on the new, expensive, seeking broad.