CAI Heping, XING Wenrong, SHENG Xiaofeng, et al. Practice of Diversity Control in Management of Adjuvant Medication for Children[J]. 2021,21(8):1017-1020.
CAI Heping, XING Wenrong, SHENG Xiaofeng, et al. Practice of Diversity Control in Management of Adjuvant Medication for Children[J]. 2021,21(8):1017-1020. DOI: 10.14009/j.issn.1672-2124.2021.08.029.
OBJECTIVE: To standardize the adjuvant drugs and strengthen the rational application of adjuvant drugs. METHODS: Since Jul. 2018
the clinical pharmacists and the medical department had jointly participated into the control of adjuvant drugs in Anhui Provincial Children’s Hospital( hereinafter referred to as “our hospital”). The application data of adjuvant drugs in children from our hospital from the third quarter of 2018 to the second quarter of2019 after intervention were retrospectively analyzed. RESULTS: Through diversity control intervention
the proportion of consumption sum of adjuvant drugs in total consumption sum of drugs in our hospital decreased
from 11. 49%( 7 402 133. 19 yuan/64 396 414. 32 yuan) in the third quarter of 2018 to 6. 50%( 4 530 593. 23 yuan/69 751 165. 47 yuan) in the second quarter of 2019. The proportion of consumption sum of neurotrophic drugs in total consumption sum of drugs decreased significantly
from 6. 77%( 4 356 664. 72 yuan/64 396 414. 32 yuan) in the third quarter of 2018 to4. 38%( 3 053 004. 97 yuan/69 751 165. 47 yuan) in the second quarter of 2019. The proportion of consumption sum of other drugs in total consumption sum of drugs fluctuated slightly and showed the general decreasing trend. The defined daily dose system of cerebroprotein hydrolysate oral solution was the highest
yet there was no concentration phenomenon. Daily drug cost( DDC) was calculated according to the defined daily dose( DDD) for adults
oxiracetam injection had the highest DDC. DDC was calculated according to the DDD of children in our hospital
and the DDC of creatine phosphate sodium for injection was the highest. CONCLUSIONS: After diversity control
the consumption sum of adjuvant drugs in our hospital is in a significant decreasing tendency
and the fluctuation of various medication data is relatively consistent
yet further control of individual varieties is still needed.
关键词
辅助用药用药频度限定日费用多元性合理用药
Keywords
Adjuvant drugsDefined daily dose systemDaily drug costDiverseRational medication