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医院抗菌药物科学化管理方式与常见问题

杨传英,宋超,杨静   

  1. 山东省立第三医院,山东省立第三医院,山东省立第三医院
  • 收稿日期:2018-02-26 修回日期:2018-03-12 出版日期:2018-03-25
  • 基金资助:
    山东省交通运输厅科技计划项目(项目编号:2016B61;项目名称:基于循证医学证据的辅助治疗药物管理系统的构建)

Scientific Management Mode of Antibacterials in Hospital and Common Problems

Chuan-Ying Yang,Chao Song and Jing Yang   

  1. shandong provincial third hospital,shandong provincial third hospital,Shandong Provincial Third Hospital, Wuyingshan Road;Shandong,China
  • Received:2018-02-26 Revised:2018-03-12 Online:2018-03-25

摘要: 目的:加强医院抗菌药物临床应用管理,规范抗菌药物的临床使用,优化治疗方案并防止不合理用药现象的发生。方法:制定抗菌药物科学化管理(AMS)方案并加强指标控制,深度处方点评以优化治疗方案;建立细菌耐药预警机制以延缓细菌耐药。结果:经过抗菌药物临床应用专项整治活动的不断推进,抗菌药物使用日趋合理规范,但在优化治疗方案方面仍需加强。结论:医院抗菌药物科学化管理可显著提高合理用药水平。

Abstract: Objective:To strengthen the clinical application management of antibacterial drugs in hospital, standardize the clinical use of antibiotics, optimize the treatment program and prevent the occurrence of irrational use of drugs. Methods: Establish antimicrobial stewardship(AMS) scheme and strengthen the implementation of infectious disease control, multidisciplinary treatment model (MDT) and prescription comment to optimize the treatment plan; establish mechanism of early warning of bacterial resistance to delay the bacterial resistance. Results: After the continuous improvement of clinical application of antibacterial drugs, the use of antibiotics has become increasingly rational and standardized, but efforts should still be made in optimizing treatment options. Conclusion: Scientific management of antimicrobial agents in hospital can significantly improve the level of rational use of antibiotics.