Application and evaluation of management mode for the use of antimicrobial drugs in county-level medical communities led by anti-infective clinical pharmacists
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Application and evaluation of management mode for the use of antimicrobial drugs in county-level medical communities led by anti-infective clinical pharmacists
DENG Xiaoqin,ZHAO Chi,LI Zhaohong,et al.Application and evaluation of management mode for the use of antimicrobial drugs in county-level medical communities led by anti-infective clinical pharmacists[J].ZHONGGUO YAOFANG,2024,35(01):95-100.
DENG Xiaoqin,ZHAO Chi,LI Zhaohong,et al.Application and evaluation of management mode for the use of antimicrobial drugs in county-level medical communities led by anti-infective clinical pharmacists[J].ZHONGGUO YAOFANG,2024,35(01):95-100. DOI: 10.6039/j.issn.1001-0408.2024.01.17.
Application and evaluation of management mode for the use of antimicrobial drugs in county-level medical communities led by anti-infective clinical pharmacists
To provide reference for improving the rational use of antimicrobial drugs in primary township medical institutions.
METHODS
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Based on the county prescription pre-review center, a team led by anti-infective clinical pharmacists constructed the management mode for the use of antimicrobial drugs in county-level medical communities with clinical pharmacists as the main team by finding out the main problems in the use of antimicrobial drugs in primary township medical institutions, providing feedback on the problems, organizing relevant training for the problems, improving the customization rules of the prescription pre-review software, implementing the automatic interception and pharmacist online prescription review and other measures. Data on the use of antimicrobial drugs were collected and compared in the 15 primary township medical institutions between January-June in 2022 (before the implementation of the mode) and January-June in 2023 (after the implementation of the mode).
RESULTS
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Compared with before the implementation of the mode, the utilization rate of antimicrobial drugs in outpatients of primary township medical institutions decreased from 24.97% before the implementation of the mode to 19.39% after the implementation of the mode; the utilization rate of antimicrobial injection in outpatients decreased from 66.10% to 46.80%; the utilization rate of intravenous drip of antimicrobial drugs in outpatients decreased from 52.33% to 40.35%; the rates of combined use of antimicrobial drugs in outpatients decreased from 12.70% to 8.19%; the reasonable rate of antimicrobial prescribing in outpatients increased from 55.28% to 73.93%. After the implementation of the mode, the proportion of antimicrobial prescriptions for each diagnosis was basically the same as before; the defined daily dose system (DDDs) and proportion of a few antimicrobial drugs changed compared with before according to the anatomical therapeutic chemical classification of drugs, among which DDDs of lincomycin, gentamicin and other drugs declined significantly; DDDs of antimicrobial drugs for each classification was basically the same as before according to AWaRe classification.
CONCLUSIONS
2
The management mode of the use of antimicrobial drugs led by anti-infective clinical pharmacists is constructed in the prescription pre-reviewing center of county-level medical communities, which can effectively improve the rational use of antimicrobial drugs in the primary township medical institutions.
关键词
县域医共体抗菌药物乡镇医疗机构临床药师合理用药
Keywords
antimicrobial drugsprimary township medical institutionsclinical pharmacistsrational drug use
references
Organization for Economic Co-operation and Develop‐ ment. Antimicrobial resistance tackling the burden in the European Union[EB/OL].[2023-06-02].https//www.oecd.org/health/health-systems/AMR-Tackling-the-Burdenin-the- EU-OECD-ECDC-Briefing-Note-2019.pdfhttps://www.oecd.org/health/health-systems/AMR-Tackling-the-Burdenin-the-EU-OECD-ECDC-Briefing-Note-2019.pdf.
National Health Commission. Status report on antimicrobial administration and antimicrobial resistance in China:2020[M].Beijing:Peking Union Medical College Press,2020:1-58.
ZHANG H X.Analysis on the use of antimicrobial agents and drug resistance of pathogenic bacteria in 12 primary medical institutions in a city[J].Anti Infect Pharm,2021,18(1):60-62.
JIN Z,CHEN H. Analysis and countermeasures of outpatient antibiotics use in primary health centers in Yichun of Jiangxi province[J].Chin J Prim Med Pharm,2021,28(10):1564-1567.
CHI J Y,YANG L H,WANG H. Surveillance of antimicrobial use and bacterial resistance in primary medical institutions in Dali[J].South China J Prev Med,2019,45(5):449-452.
WANG Y,TIAN J,TAN Y B,et al. Comparative analysis of antimicrobial stewardship programs at home and abroad and enlightenment for China[J]. Chin J Nosoco- miology,2018,28(18):2829-2833,2838.
WHO Collaborating Centre for Drug Statistics Methodo- logy. Guidelines for ATC classification and DDD assignment 2022[EB/OL]. [2023-06-10]. https://www.gbv.de/dms/bs/toc/31094693X.pdfhttps://www.gbv.de/dms/bs/toc/31094693X.pdf.
World Health Organization. 2021 AWaRe classification[EB/OL]. [2023-06-28]. http://www.who.int/publication/i/ item/2021-aware-classificationhttp://www.who.int/publication/i/item/2021-aware-classification.
YE D,JI W J,ZHU S,et al. On general practitioner’s knowledge,attitudes and practice concerning antibiotics use at township hospitals in Shaanxi province[J]. Chin Pharm Aff,2018,32(12):1704-1709.
XU Z X,WU M F,LIU F,et al. Intervention of rational application of antibiotics in pediatrics of primary hospitals based on new management mode of antibiotics in medical alliance[J]. J Pediatr Pharm,2021,27(9):24-27.
LIU X F,XIAO Z J,ZHOU T,et al. Comparative analysis of antimicrobial use before and after the implementation of the standardized training program for community clinical pharmacists[J].China Pharm,2022,31(18):125-129.
JIN Z,CHEN H,ZHANG C Y,et al. Application effect of medical association model in antibacterials management in outpatient department of primary health hospital[J].Drug Eval,2021,18(10):582-584.
Yumiti·Taxifulati,YANG Y Y,CHEN S C,et al.Analysis of antibiotic use and rationality for children in primary healthcare institutions from Beijing[J].China Pharm,2022,33(2):236-243.
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