Application of Antibiotics in 20 Medical Institutions in District A of Shanghai from 2014 to 2019

doi:10.14009/j.issn.1672-2124.2021.12.020

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Application of Antibiotics in 20 Medical Institutions in District A of Shanghai from 2014 to 2019

更新时间：2022-10-08

- Application of Antibiotics in 20 Medical Institutions in District A of Shanghai from 2014 to 2019
- Vol. 21, Issue 12, Pages: 1510-1512(2021)
- 作者机构：
  
  1. 复旦大学公共卫生学院
  2. 国家卫生健康委员会卫生技术评估重点实验室(复旦大学)
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2021.12.020
  CLC： R954
- Published：2021，
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Application of Antibiotics in 20 Medical Institutions in District A of Shanghai from 2014 to 2019. [J]. 21(12):1510-1512(2021)
DOI：

Application of Antibiotics in 20 Medical Institutions in District A of Shanghai from 2014 to 2019. [J]. 21(12):1510-1512(2021) DOI： 10.14009/j.issn.1672-2124.2021.12.020.

摘要

目的:了解上海市A区(以下简称"该区")区属各级各类医疗机构的抗菌药物使用情况

为区域内相关管理政策的完善提供相关信息。方法:收集2014—2019年该区20家区属医疗机构门诊和住院患者抗菌药物使用率(%)、抗菌药物使用强度[DDDs/(100人·d)]和Ⅰ类切口手术抗菌药物预防性使用率(%)等抗菌药物使用指标进行统计分析

并引入卫生工作人员数、年门诊量、年入院人次数和年份等变量进行面板回归影响因素分析。结果:2014—2019年

该区区属二级医疗机构住院患者抗菌药物使用率和使用强度均呈降低趋势

Ⅰ类切口手术抗菌药物预防性使用率则持续升高;一级医疗机构门诊患者抗菌药物使用率、住院患者抗菌药物使用率和住院患者抗菌药物使用强度均呈降低趋势。此外

年份显著影响一级和二级医疗机构住院患者抗菌药物使用率

但方向有所不同。结论:该区区属医疗机构门诊患者抗菌药物使用率总体情况较好

一级医疗机构住院患者抗菌药物使用率较高

二级医疗机构Ⅰ类切口手术抗菌药物预防性使用率近年来超出国家指南要求

二级医疗机构住院患者抗菌药物使用率显著降低。

Abstract

OBJECTIVE: To investigate the application of antibiotics in various medical institutions at all levels in district A of Shanghai（ hereinafter referred to as “this district”）

so as to provide information for the improvement of relevant management policies in this district. METHODS: The application rate of antibiotics（ %）

application intensity of antibiotics[DDDs/（ 100 persons·d） ]and prophylactic application rate of antibiotics in type I incision surgery（ %）of outpatients and inpatients in 20 medical institutions from 2014 to 2019 were collected and analyzed statistically.Meanwhile

variables such as the number of medical staff

annual outpatient visits

annual hospital admissions and year were introduced for panel regression analysis. RESULTS: From 2014 to 2019

the application rate and application intensity of antibiotics in inpatients of secondary medical institutions showed the decreasing trend

while the prophylactic application rate of antibiotics in type I incision surgery was in the increasing trend. The application rate of antibiotics in outpatients

inpatients and application intensity in inpatients in primary medical institutions showed the decreasing trend. In addition

the year significantly affected the application of antibiotics in inpatients of primary and secondary medical institutions

yet in different directions. CONCLUSIONS: The overall application rate of antibiotics in outpatients is basically rational. Yet the application rate of antibiotics in inpatients of primary medical institutions is relatively high. In recent years

the prophylactic application rate of antibiotics for type I incision surgery in secondary medical institutions has exceeded the requirements of national guidelines

and the application rate of antibiotics for inpatients in secondary medical institutions has decreased significantly.

关键词

抗菌药物使用状况医疗机构分析

Keywords

AntibioticsApplication conditionMedical institutionsAnalysis

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