OBJECTIVE:To provide a basis for management of use of cephalosporins in hospital METHODS:The cephalosporins used in 18 hospitals of Chongqing in 2001～2003 were statistically analysed in respect to the kind,consumption sum and DDDs etc RESULTS:During the 3-year period,the sum of cephalosporins consumption increased with an annual rate of 23 34%,of which the third generation cephalosporins were the maximum consumption in kind accounting for 50% of total cephalosporins used Compared to those in 2001,DDDs of the third generation cephalosporins increased 540 49%,but DDDc decreased 75 22% As for fourth generation cephalosporins,the annual sum and consumption were under 2% and 0 3% respectively CONCLUSION:The consumption of the third generation cephalosporins has increased sharply In order to reduce and delay the bacteria resistance,it is very important to make measures as soon as possible to control the cephalosporins abuse strictly

Objective To understand the present situation of therapeutic drug monitoring(TDM)on cyclosporine A(CsA) application in renal transplant recipients.Methods The clinical data of the first postoperative month of 50 renal transplant cases admitted to our hospital during May 2000 to March 2005 were collected and retrospectively analyzed.Results Total 50 cases(male∶female= 3∶1) had accepted the trigeminy of CsA,prednisone and azamun.The average initial dose and average maintenance dose for the male were higher by 59.94 mg/d and 52.00 mg/d than that for the female(P

OBJECTIVE:To construct the homologous recombination plasmid of sigB gene from staphylococcus aureus so as to provide the basis for further study of the formation mechanism of its biofilm.METHODS:The target fragment“upstream sequence of sigB,kana-resistance gene,and downstream sequence of sigB”were amplified by PCR from staphylococcus aureus DNA and pEGFP-N2plasmid,respectively,in which the terminals of3interlinked fragments were complementary,and re-stricted enzyme EcoRⅠand XhoⅠsite existed in the sequence terminal,respectively.The fragments were ligated with fusion PCR in turn.Then target fragment was recombinated into plasmid pBluescriptⅡSK(+)according to the instruction manual of commercial kits.After both recombination of pBluescriptⅡSK(+)and vector plasmid pGEM-7zf(+),restricted enzyme SacⅠand XhoⅠ,the homologous recombination plasmid pGEM-7zf(+)-sigB was finally made via T 4 ligation enzyme.RE-SULTS:The target fragments were amplified by PCR and were confirmed with the agarose gel electrophoresis and sequencing.CONCLUSION:The homologous recombination plasmid of sigB gene from staphylococcus aureus is constructed successfully.

OBJECTIVE:To design chinese unified bar code for drugs(BCD)with uniqueness and permenancy.METHO_ DS:Based on analysis of the status and problems of BCD used at present in China,the method and principle to standardize BCD were brought forward.RESULTS:The statistics indicated that most of the prescription drugs have no BCD labelled on the package and there is no unified drug identifying criterion adopted by pharmaceutical manufactures,therefore the depart?ment concerned should draw up unified BCD in China.CONCLUSION:Chinese unified BCD would be beneficial to scientific management of drugs and to ensure the safety of drug use.

OBJECTIVE:To survey and evaluate the current situation and developing trend of antibiotic/beta-lactamase inhibitor(BLI)preparations consumed.METHODS:The antibiotic/BLI preparations used in18hospitals of Chongqing in2001～2003were collected in respect to the compositions,dosage forms,specifications,drug name,manufacturers and sum of money for consumption,and the clinical application information was analysed.RESULTS:The sum of money for these antibi?otics/BLI consumed in the years2001,2002and2003were2229,2937and4119ten-thousand yuan(RMB),respectively,with an average annual increase rate of26.41%.Among them the consumption costs of antibiotics plus sulbactam,clavulanate and tazobactam were6280,2276and729ten-thousand yuan(RMB),accounting for67.64%,24.51%and7.85%of the total consumption sum,with an annual increase rates of32.20%,35.93%and94.50%,respectively.CONCLUSION:The consump?tion of the antibiotic/BLI preparations was increasing fast in these years and the more requirement for the antibiotic/BLI preparations by market would be expected in the future.

OBJECTIVE:To establish a database that contains the standard basic information of drugs.METHODS:The drug basic information was collected and coordinated,and the data included the category,commercial name,general name in Chinese and English,and the dosage form,specification,packaging and quantity etc.of the drug.The code was endued with one drug in accordance with this drug information and the code rules.RESULTS:A database comprised more than 65 000 items of the standard drug basic information was established.CONCLUSION:That such a database could be the footstone of the drug information managing and communication and be very important to the drug information share.

OBJECTIVE:To survey and evaluate the present situation and trends o f fluoroquinolones(FQNs) used in hospitals in four provinces,southwest district of China,during the period 2000～2002 METHODS:FQNs used in 51 hospitals in 4 provinces(cities) were analyzed statistically in respect to the sum of money ,main kinds and DDDs etc RESULTS:During the period 2000～2002,a total of 13 kinds of FQNs was used in these hospitals The consumption sums of FQNs in 2000 ,2001 and 2002 were 7 391,9 342 and 13 242 ten-thousand yuans respectively wi th an annual increase rate of 34 08%,of which the main cause was due to the i ncreasing consumption of levofloxacin,sparfloxacin and ofloxacin,however,the DDDs of FQNs in 2001 and 2002 decreased by 17 58% and 19 38% respectively,c ompared with that in 2000,which resulted from the reducing consumption of norfl exacin,but no significant differences were found in the average DDD costs among three years Meanwhile,the nasal drops and eye drops of ofloxacin,ciprofloxac in,norfloxacin and lomefloxacin were consumed a large amount during these three years CONCLUSION:FQN is a kind of commonly-used antimicrobial in southwest d istrict of China And the consumption of some newly-developed FQNs such as levo floxacin and sparfloxacin has increased fast year by year

OBJECTIVE:To provide reference for the reform of the postgraduate training mode of pharmaceutical professional degree. METHODS:Domestic literatures about postgraduate training mode of pharmaceutical professional degree from 2010 to 2013 were searched and combined with the current education situation in China to conclude and summarize the existing problems and reform strategy. RESULTS:Postgraduate education mode of pharmaceutical professional degree in China was still in the explor-atory stage,with shortage of teachers,unreasonable courses,unsound educational structure,nonsupport of the students,imperfec-tion evaluation systems,and so on. Further promoting the reform of postgraduate education mode needs to strengthen teacher teams ’construction,implement cooperative training;improve training program and teaching courses;strengthen dissertation applica-tion-oriented and practice base construction;fully mobilize the enthusiasm and motivation of students;promote the connection of pharmaceutical professional training and vocational qualifications;and improve the quality assurance systems. CONCLUSIONS:Further implementation of postgraduate training mode of pharmaceutical professional degree and postgraduate education of pharma-ceutical professional degree can train the applied talents that meet social needs,improve employment rate of postgraduates and re-duce waste of educational resources.

OBJECTIVE:To probe into the tendency and influencing factors of the drug expenses of the inpatients in our hospital.METHODS:The total drug expense,the antibiotic expense and its proportion in the total of the inpatients in our hospital were analyzed statistically in this retrospective study.RESULTS:During 2003～2007,the average daily total drug expense per inpatient was 371.77 yuan with average annual growth rate of 11.94%;the average daily antibiotics cost per inpatient was 110.35 yuan with average annual growth rate of 11.92%.Both the drug expense and antibiotic expense were correlated positively with the consumer price index (CPI).And the proportion of antibiotic expense in the total drug cost remained stable at about 29.68%.CONCLUSION:The average daily drug cost and antibiotic expenses per inpatient between 2003 and 2007 fluctuated yet with upward trend on the whole,and the proportion of antibiotic expense in the total drug cost remained stable.

Objective To study the effect of Bifidobacterium spent culture supernatant (SCS) on adhesion of Pseudomonas aeruginosa to intestinal epithelial cells. Methods The intestinal epithelial cells were cultured,then divided into three groups: control,Pseudomonas aeruginosa adhesion group,SCS and Pseudomonas aeruginosa adhesion group. The effects of SCS on cell viability,the number of adhering and invasive bacteria were evaluated with MTT assay and lysis-counting assay in 1,3,6 h. Results At 3 h after SCS treatment,the amount of Pseudomonas aeruginosa decreased significantly,and the number of adhering and invasive bacteria decreased by 71% and 87% respectively. Conclusion SCS could protect the intestinal epithelial cells by inhibiting the adhesion and invasion of Pseudomonas aeruginosa.