Trend of antibiotics usage among outpatients in primary public medical institutions in a county of Zhejiang Province, from 2015 to 2020

Autor: DONG Xiaolian, WANG Yingying, ZHU Jianfu, WANG Na, CHEN Yingfeng, XIE Yuyang, JIANG Qingwu, FU Chaowei
Jazyk: čínština
Rok vydání: 2024
Předmět:
Zdroj: Shanghai yufang yixue, Vol 36, Iss 5, Pp 497-503 (2024)
Druh dokumentu: article
ISSN: 1004-9231
DOI: 10.19428/j.cnki.sjpm.2024.23420
Popis: ObjectiveTo understand the usage of antibiotics in outpatients in a county of Zhejiang Province from 2015 to 2020, so as to provide a basis for further standardizing the clinical application of antibiotics in this region.MethodsOutpatient records and prescription records of 146 public medical institutions from 2015 to 2020 were extracted from the electronic medical record data sharing platform system of medical institutions in a county of Zhejiang Province. The utilization rates and the number of types of antibiotics used in outpatient patients were described. According to the drug anatomy, therapeutic and chemical classification system (ATC), clinical application classification and dosage form, the use status of different types of antibiotics was observed. The annual percentage change (APC) was used to analyze the time trend of antibiotic use. Among the antibiotic prescriptions in each year, the proportions of prescriptions aimed for different use reasons and patients were compared to analyze the changes in the structures of antibiotic prescriptions.ResultsDuring 2015‒2020, a total of 2 861 438 prescriptions were issued in 146 primary public medical institutions in this county, including 314 642 prescriptions for antibiotics, and the overall utilization rate of antibiotics was 11%. The utilization rate of antibiotics showed a decreased trend across the years (from 14.23% in 2015 to 7.59% in 2020, APC=-11.51%, 95%CI=-0.01%‒-21.7%, t=-12.05, P
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