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目的加强抗菌药物的使用管理,探索在城郊卫生院控制抗菌药物使用的方法。方法利用“四定”控制法在电脑系统中对2011~2013年抗菌药物使用情况进行统计以及手工随机抽取每年8月份100张处方(按每隔2张处方抽取1张的方法 )的抗菌药物处方使用比例,进行对比分析。结果 2011~2013年电脑系统抗菌药物处方比例分别为:35.2%、30.5%、19.2%,抗菌药物金额比例分别为:26.4%、23.3%、12.6%;2011~2013年手工抽取抗菌药物处方比例分别为:38%、31%、18%,抗菌药物使用得到明显控制。结论 “四定”控制法在城郊基层卫生院的抗菌药物使用控制中具有一定效果。
Objective To strengthen the use and management of antibacterials and explore ways to control the use of antibacterials in suburban hospitals. Methods Using the “four fixed” control method in the computer system for the statistics of antimicrobial usage from 2011 to 2013 and manual random sampling of antibiotics from 100 prescriptions in August (one for every two prescriptions) The proportion of prescription drugs, comparative analysis. Results The proportion of antibacterials in computer system from 2011 to 2013 were 35.2%, 30.5% and 19.2%, respectively. The proportions of antibacterials were 26.4%, 23.3% and 12.6% respectively. As: 38%, 31%, 18%, the use of antimicrobial agents was significantly controlled. Conclusion “four ” control method in the suburbs of grass-roots hospitals with antimicrobial drug control has some effect.