Antibiotic prescribing patterns in village health clinics across 10 provinces of Western China

Antibiotic prescribing patterns in village health clinics across 10 provinces of Western China
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DOI:
10.1093/jac/dkn153
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发表时间:
2008-08-01
影响因子:
5.2
通讯作者:
Wang, Duolao
Wang, Duolao
中科院分区:
医学2区
文献类型:
--
作者:
Dong, Lifang;Yan, Hong;Wang, Duolao

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目的:目的:探讨中国西部10省农村地区抗生素处方模式,并比较不同省份抗生素处方模式的差异。方法:收集中国西部10省40个县680个村的基层卫生所处方20125张。结果:本研究地区使用抗菌药物的处方数为41.12-57.47张,占处方总数的48.43%;抗菌药物共49种,其中17种占90%。每百张处方中抗生素使用量为54.62张(范围:43.78-69.56张)。结论:我国西部农村地区抗生素处方使用频率和比例均高于发达国家,且不同省份间抗生素处方使用模式差异较大。研究结果对我国抗生素的合理使用具有重要的政策意义。
Objectives: To explore antibiotic prescribing patterns in rural areas across 10 provinces of Western China and to compare the patterns among these provinces.Methods: About 20 125 prescriptions were collected from 680 primary health clinics in villages from 40 counties in 10 provinces of Western China. Percentage of prescriptions with antibiotics and number of antibiotics per 100 prescriptions were used as measurements of antibiotic utilization.Results: The percentage of prescriptions with antibiotics was 48.43 (range: 41.12-57.47) in the study areas. There were 49 kinds of antibiotics prescribed in total, and 17 of them accounted for 90% of all usage. The number of antibiotics per 100 prescriptions was 54.62 (range: 43.78-69.56).Conclusions: The frequency and proportion of prescribed antibiotics in the rural areas of Western China are higher compared with the developed countries, and the patterns of antibiotic prescription differ greatly among provinces. The findings have important policy implications for recommendations on the utilization of antibiotics in China.