协和医学杂志

2019, v.10(05) 531-538

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临床抗菌药物综合管理:从协和经验到全国规范
Management of Antimicrobial Agents: from the Experience of Peking Union Medical College Hospital to the National Standard

梅丹;胡扬;杨阳;
MEI Dan;HU Yang;YANG Yang;Department of Pharmacy,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

摘要(Abstract):

加强抗菌药物科学管理、减缓细菌耐药已成为全球共同关注、非常紧迫的工作任务之一。全国抗菌药物临床应用专项整治行动实施8年来,抗菌药物应用合理化水平及关键指标不断提高,可降低不适宜和不必要的抗菌药物使用,改进患者的照护质量,有助于防范当地耐药。本文在分析北京协和医院管理与应用数据的基础上,呼吁通过优化抗菌药物管理项目的实施与干预,并结合教育和不断提示,实现从以行政干预为主、专业技术为辅向专业化协作、长效管理模式转变,以实现全国范围内真正意义上的合理用药,使管理更为科学规范。
Strengthening the scientific management of antimicrobial agents plus reducing bacterial resistance has become a worldwide urgency and one of the major challenges in public health. The National Special Project of Clinical Application and Management of Antimicrobials has been implemented for 8 years and it has achieved remarkable results. Antimicrobial stewardship program,combined with training,has been developed with the intention of reducing inappropriate and unnecessary use of antimicrobials while improving the quality of patient care and locally helping prevent the development of antimicrobial resistance. Based on data,the change from administrative intervention to a management mode of a long-term technology-supporting system will come true.

关键词(KeyWords): 抗菌药物;监控,指标;抗菌药物管理项目
antimicrobial agents;monitor,indicator;antimicrobial stewardship program

Abstract:

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基金项目(Foundation): 中国医学科学院医学与健康科技创新工程项目(2017-12M-1-011);; 2018首都卫生发展科研专项项目(2018-3-4017)

作者(Author): 梅丹;胡扬;杨阳;
MEI Dan;HU Yang;YANG Yang;Department of Pharmacy,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

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