主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (8): 1138-1141.doi: 10.3969/j.issn.1672-1756.2019.08.005

• 特别策划·多重耐药菌感染防控 • 上一篇    下一篇

多学科协作抗菌药物管理模式的实践与思考

黄勋 吴安华 尹桃 钱招昕   

  1. 中南大学湘雅医院感染控制中心,410008 长沙市(黄勋,吴安华);药学部(尹桃);医务部(钱招昕)
  • 出版日期:2019-08-15 发布日期:2019-08-15
  • 作者简介:黄勋,博士,主任医师,科室副主任,E-mail:huangxun224@126.com
  • 基金资助:
    2015年度湘雅医院管理研究基金(2015-10)

Practice and reflection on the multi-disciplinary cooperative antibacterial drug management model

HUANG Xun, WU Anhua, YIN Tao, QIAN Zhaoxin   

  1. The Department of Hospital Infection Control, Xiangya Hospital, Central Southern University, Changsha, 410008, China
  • Online:2019-08-15 Published:2019-08-15

摘要: 目的:探讨多学科协作抗菌药物管理临床模式策略。方法:依据抗菌药物相关法律法规,建立健全医院管理体系,层层落实相关责任,提高抗菌药物管理水平。结果:全院住院患者抗菌药物使用率由2011年度的41.31%下降到2018年度的29.50%;医院多重耐药菌检出率从2017年度的57.46%降低到2018年度的54.55%;医药费用中全院住院患者抗菌药物人均费用从2011年2?398元/人降低到2018年984.77元/人,很大程度上减轻了老百姓的就医负担。结论:多学科协作抗菌药物管理模式能够为提高医疗质量、保障用药安全、降低药品费用、减少细菌耐药产生提供有效保障。

关键词: 多学科协作;抗菌药物管理;实践

Abstract: Objective: To explore the clinical model strategy of multidisciplinary collaborative antimicrobial management. Methods: According to the laws and regulations related to antibacterial drugs, establish and improve the hospital management system, and implement relevant responsibilities at various levels, and improve the management of antimicrobial agents. Results: The utilization rate of antimicrobial agents in hospitalized patients decreased from 41.31% in 2011 to 29.50% in 2018. The detection rate of multi-drug resistant bacteria decreased from 57.46% in 2017 to 54.55% in 2018. The per capita cost of antibacterial drugs has been decreased from 2,398 yuan/inpatient in 2011 to 984.77 yuan/inpatient in 2018, which has greatly reduced the burden of medical treatment of people. Conclusion: The multi-disciplinary collaborative antimicrobial management model can provide effective protection for improving medical quality, ensuring drug safety, reducing drug costs and reducing bacterial resistance.

Key words: multidisciplinary cooperation; antibacterial drug management; practice

中图分类号: 

  • R47