Analysis of the Clinical Use of Antibiotics Essential Medicines in a Primary Medical and Health Institutions before and after Pharmaceutical Care Intervention
10.6039/j.issn.1001-0408.2015.24.18
- VernacularTitle:药学服务干预前后某基层医疗卫生机构抗菌药物类基本药物临床应用分析
- Author:
Yong LONG
- Publication Type:Journal Article
- Keywords:
Primary hospital;
Pharmaceutical care;
Intervention;
Antibiotics essential medicines;
Proportionnal use
- From:
China Pharmacy
2015;(24):3357-3360
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To provide reference for promoting the proportionnal use of antibiotics essential medicines in primary medical and health institutions. METHODS:Retrospective survey and statistics were conducted for the species proportion,prescrip-tion proportion,use cases and DDDs of antibiotics essential medicines before and after the intervention(data in 2012 was used for before intervention,data in 2013 and 2014 was used for after intervention)of pharmaceutical care to total essential medicines in a primary medical and health institution from 2012 to 2014,and the irproportionnal use was analyzed. RESULTS:The species propor-tion of antibiotics essential medicines was increased from 67.74%in 2012 to 90.91%in 2014,the difference was statistically signif-icant;the prescription proportion was increased from 57.42% in 2012 to 77.00% in 2013 and 91.18% in 2014,there were signifi-cant differences between the adjacent years(P<0.05);the top 10 use cases proportion and DDDs of antibiotics were completely oc-cupied by essential medicines in 2014;irproportionnal prescription proportion of antibiotics essential medicines was decreased from 24.96% in 2012 to 8.01% in 2014,the difference was statistically significant(P<0.05);the main problem was the proportion of unreasonable combination prescriptions was greatly decreased. CONCLUSIONS:Pharmaceutical care intervention has positive ef-fect on the allocation and clinical application of antibiotics essential medicines,and can promote its prior and proportionnal use.
