抗菌药物使用强度计算方法.pptx

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,*,抗菌药物使用强度,药剂科：贾朝辉,2023年8月,1,学习内容,一.,有关知识,二.,抗菌药物使用强度,三.,详细计算环节,四.,实例学习,2,有关知识,起源：WHO在1969年制定了解剖-治疗-化学旳药物分类系统（anatomical therapeutic chemical，ATC），拟定了将限定日剂量（defined daily dose，DDD）作为用药频度分析旳单位1.限定日剂量(DDD)：,用于主要治疗目旳旳成人旳药物平均日剂量3,有关知识,限定日剂量值(,DDD值)：由,WHO“药物统计措施合作中心”制定旳，网上能够查到按照WHO推荐旳药物限定日剂量计算，同一通用名旳药物,剂型不同,DDD值也不同如：,1.阿奇霉素片0.25gDDD值0.3g,阿奇霉素注射液0.25gDDD值0.5g,2.,甲硝唑VB6片,0.2g DDD值2.0g,甲硝唑注射剂0.5g DDD值1.5g,4,我院抗菌药物5月DDD数,品种,规格,系数,使用,数量,使用总,量,（g）,DDD值(g),DDD数,红霉素肠溶片,0.125gX100片/瓶,12.5,0,0,1,0,注射用乳糖酸红霉素,0.25g/支,0.25,11,2.75,1,2.75,阿奇霉素分散片,0.25g x6片/盒,1.5,0,0,0.3,0,盐酸阿奇霉素注射液,0.25g/支,0.25,32,8,0.5,16,注射用阿奇霉素磷酸二氢钠,0.25g/支,0.25,23,5.75,0.5,11.5,诺氟沙星胶囊,0.1gX10粒/板,1,1,1,0.8,1.25,诺氟沙星葡萄糖注射液,100ml：0.2g/瓶,0.2,0,0,0.4,0,乳酸左氧氟沙星分散片,0.2gX12片/盒,2.4,0,0,0.5,0,盐酸左氧氟沙星氯化钠注射液,100ml:0.5g/瓶,0.5,171,85.5,0.5,171,甲磺酸左氧氟沙星注射液,100ml:0.2g/瓶,0.2,182,36.4,0.5,72.8,注射用青霉素G钠,80万U/支,0.48,640,307.2,3.6,85.33333,5,我院抗菌药物5月DDD数,注射用青霉素G钠,160万U/支,0,0,3.6,0,注射用氨苄西林,0.5g/支,0.5,0,0,2,0,注射用氨苄西林/舒巴坦钠,3.0g/支,3,0,0,2,0,注射用美洛西林,2.0g/支,2,129,258,6,43,注射用美洛西林,3.0g/支,3,59,177,6,29.5,注射用美洛西林/舒巴坦钠,1.25g/支(1.0:0.25),1,316,316,7.5,42.13333,注射用阿莫西林/舒巴坦钠,0.75g/支,0.75,0,0,3,0,阿莫西林胶囊,0.25gX20/盒,5,10,50,1,50,阿莫西林/克拉维酸钾分散片,228.5mgX12/盒(0.2:0.0285),2.4,18,43.2,1,43.2,阿莫西林/克拉维酸钾颗粒,228.5mgX6/盒(0.2:0.0285),1.2,12,14.4,1,14.4,注射用阿莫西林/克拉维酸钾,0.6g/支(0.5:0.1),0.5,959,479.5,3,159.8333,注射用哌拉西林钠,0.5g/支,0.5,0,0,14,0,6,我院抗菌药物5月DDD数,注射用哌拉西林钠/他唑巴坦,2.25g/支(2:0.25),4.5,474,2133,14,152.3571,注射用磺苄西林钠,1.0g/支,1,79,79,15,5.266667,注射用头孢噻吩钠,0.5g/支,0.5,510,255,4,63.75,注射用头孢替唑钠,0.75g/支,0.75,494,370.5,6,61.75,注射用头孢替唑钠,0.5g/支,0.5,1073,536.5,6,89.41667,注射用头孢唑啉钠,0.5g/支,0.5,1248,624,3,208,注射用头孢硫脒钠,1.0g/支,1,118,118,3,39.33333,头孢丙烯胶囊,0.25g x6粒/盒,1.5,0,0,1,0,头孢丙烯颗粒剂,0.125g x6包/盒,0.75,0,0,1,0,注射用盐酸头孢替安钠,1.0g/支,1,744,744,4,186,注射用头孢孟多酯钠,0.5g/支,0.5,936,468,6,78,注射用头孢孟多酯钠,1.0g/支,1,206,206,6,34.33333,7,我院抗菌药物5月DDD数,头孢呋辛酯钠片,0.25g x6片/盒,1.5,26,39,0.5,78,注射用头孢呋辛钠,0.75g/支,0.75,876,657,3,219,注射用头孢呋辛钠,1.5g/支,1.5,577,865.5,3,288.5,注射用盐酸头孢甲肟,0.5g/支,0.5,706,353,2,176.5,注射用头孢噻肟钠,2.0g/支,2,140,280,4,70,注射用头孢哌酮钠/舒巴坦钠,1.5g/支(1:0.5),1,663,663,4,165.75,注射用头孢曲松钠,1.0g/支,1,121,121,2,60.5,注射用头孢他啶,1.0g/支,1,30,30,4,7.5,注射用头孢西丁钠,0.5g/支,0.5,1684,842,6,140.3333,硫酸庆大霉素注射液,8万：2ml/支,0.08,542,43.36,0.24,180.6667,硫酸庆大霉素缓释片,40mg x36片/盒,0.04,1,0.04,0.44,0.090909,注射用硫酸链霉素,1.0g/支,1,28,28,1,28,8,我院抗菌药物5月DDD数,氯霉素注射液,0.25g:2ml/支,0.25,0,0,3,0,氯霉素片,0.25g x 100片/瓶,0.25,0,0,3,0,注射用克林霉素磷酸酯,0.5g/支,0.5,175,87.5,1.8,48.61111,注射用亚胺培喃/西司他丁,1.0g/支(0.5:0.5),0.5,102,51,2,25.5,注射用氨曲南,0.5g/支,0.5,144,72,4,18,伏立康唑片,50mg x 4片/盒,0.2,49,9.8,0.4,24.5,注射用伏立康唑,50mg/支,0.05,0,0,0.4,0,复方磺胺甲噁唑片,0.48g x 100片/瓶,0.48,120,57.6,6.08,9.473684,甲硝唑VB6片,0.2g x 45片/盒,9,0,0,2,0,甲硝唑片,0.2g x 100片/瓶,0.2,549,109.8,1.5,73.2,甲硝唑葡萄糖注射液,250ml：0.5g/瓶,0.5,0,0,1.5,0,注射用甲硝唑磷酸二钠,0.915g/支,0.915,9,8.235,1.5,5.49,注射用盐酸万古霉素,0.5g/支,0.5,98,49,1.6,30.625,合计,3311.148,9,我院抗菌药物6月DDD数,品种,规格,系数,使用,数量,销售,总量,（g）,DDD值,(g),DDD数,红霉素肠溶片,0.125gX100片/瓶,12.5,0,0,1,0,注射用乳糖酸红霉素,0.25g/支,0.25,35,8.75,1,8.75,阿奇霉素分散片,0.25g x6片/盒,1.5,0,0,0.3,0,盐酸阿奇霉素注射液,0.25g/支,0.25,2,0.5,0.5,1,注射用阿奇霉素磷酸二氢钠,0.25g/支,0.25,78,19.5,0.5,39,诺氟沙星胶囊,0.1gX10粒/板,1,1,1,0.8,1.25,诺氟沙星葡萄糖注射液,100ml：0.2g/瓶,0.2,0,0,0.4,0,乳酸左氧氟沙星分散片,0.2gX12片/盒,2.4,0,0,0.5,0,盐酸左氧氟沙星氯化钠注射液,100ml:0.5g/瓶,0.5,236,118,0.5,236,甲磺酸左氧氟沙星注射液,100ml:0.2g/瓶,0.2,178,35.6,0.5,71.2,注射用青霉素G钠,80万U/支,0.48,702,336.96,3.6,93.6,10,我院抗菌药物6月DDD数,注射用青霉素G钠,160万U/支,0,0,3.6,0,注射用氨苄西林,0.5g/支,0.5,0,0,2,0,注射用氨苄西林/舒巴坦钠,3.0g/支,3,0,0,2,0,注射用美洛西林,2.0g/支,2,53,106,6,17.66667,注射用美洛西林,3.0g/支,3,12,36,6,6,注射用美洛西林/舒巴坦钠,1.25g/支(1.0:0.25),1,390,390,7.5,52,注射用阿莫西林/舒巴坦钠,0.75g/支,0.75,0,0,3,0,阿莫西林胶囊,0.25gX20/盒,5,0,0,1,0,阿莫西林/克拉维酸钾分散片,228.5mgX12/盒(0.2:0.0285),2.4,7,16.8,1,16.8,阿莫西林/克拉维酸钾颗粒,228.5mgX6/盒(0.2:0.0285),1.2,5,6,1,6,注射用阿莫西林/克拉维酸钾,0.6g/支(0.5:0.1),0.5,843,421.5,3,140.5,注射用哌拉西林钠,0.5g/支,0.5,0,0,14,0,11,我院抗菌药物6月DDD数,注射用哌拉西林钠/他唑巴坦,2.25g/支(2:0.25),4.5,790,3555,14,253.9286,注射用磺苄西林钠,1.0g/支,1,42,42,15,2.8,注射用头孢噻吩钠,0.5g/支,0.5,377,188.5,4,47.125,注射用头孢替唑钠,0.75g/支,0.75,352,264,6,44,注射用头孢替唑钠,0.5g/支,0.5,1647,823.5,6,137.25,注射用头孢唑啉钠,0.5g/支,0.5,1075,537.5,3,179.1667,注射用头孢硫脒钠,1.0g/支,1,98,98,3,32.66667,头孢丙烯胶囊,0.25g x6粒/盒,1.5,0,0,1,0,头孢丙烯颗粒剂,0.125g x6包/盒,0.75,1,0.75,1,0.75,注射用盐酸头孢替安钠,0.5g/支,1,727,363.5,4,90.875,注射用头孢孟多酯钠,0.5g/支,0.5,21,10.5,6,1.75,注射用头孢孟多酯钠,1.0g/支,1,391,391,6,65.16667,12,我院抗菌药物6月DDD数,头孢呋辛酯钠片,0.25g x6片/盒,1.5,16,24,0.5,48,注射用头孢呋辛钠,0.75g/支,0.75,1138,853.5,3,284.5,注射用头孢呋辛钠,1.5g/支,1.5,709,1063.5,3,354.5,注射用盐酸头孢甲肟,0.5g/支,0.5,1000,500,2,250,注射用头孢噻肟钠,2.0g/支,2,116,232,4,58,注射用头孢哌酮钠/舒巴坦钠,1.5g/支(1:0.5),1,643,643,4,160.75,注射用头孢曲松钠,1.0g/支,1,190,190,2,95,注射用头孢他啶,1.0g/支,1,26,26,4,6.5,注射用头孢西丁钠,0.5g/支,0.5,1354,677,6,112.8333,硫酸庆大霉素注射液,8万：2ml/支,0.08,547,43.76,0.24,182.3333,硫酸庆大霉素缓释片,40mg x36片/盒,0.04,2,0.08,0.44,0.181818,注射用硫酸链霉素,1.0g/支,1,27,27,1,27,13,我院抗菌药物6月DDD数,氯霉素注射液,0.25g:2ml/支,0.25,0,0,3,0,氯霉素片,0.25g x 100片/瓶,0.25,0,0,3,0,注射用克林霉素磷酸酯,0.5g/支,0.5,0,0,1.8,0,注射用亚胺培喃/西司他丁,1.0g/支(0.5:0.5),0.5,30,15,2,7.5,注射用氨曲南,0.5g/支,0.5,208,104,4,26,伏立康。