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題 名 | 臺灣地區公立醫院抗生素使用情形之調查研究=Antibiotic Usage in Public Hospitals in Taiwan |
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作 者 | 張上淳; 張鴻仁; 蕭美玲; | 書刊名 | 微免與感染雜誌 |
卷 期 | 31:2 1998.06[民87.06] |
頁 次 | 頁125-132 |
分類號 | 418.281 |
關鍵詞 | 公立醫院; 抗生素; Public hospital; Antibiotic; |
語 文 | 中文(Chinese) |
中文摘要 | 為瞭解臺灣地區公立醫院之抗生素使用情形,對於臺灣地區之公立醫院於民國79 年至83年間使用藥品加以調查統計,特別針對其中抗生素之使用情形進行分析比 較。所調查之醫院在民國79年及80年包括4家醫學中心、11家區域醫院、21家 地區級醫院及8家專科醫院,而後三年擴大調查範圍,到民國83年時包括7家醫學 中心、17家區域級醫院、48家地區級醫院及9家專科醫院。這些醫院的總床數由 民國79年的18299床增加至83年的35754床。五個年度的藥物總耗用金額的17.3 %是在抗生素的使用上,其中51.2%是在醫學中心所耗用掉的,28.3%在區域醫 院,14.8%在地區醫院,5.7%在專科醫院。各個年度平均每百床耗用於抗生素的 花費在五個年度中約略保持穩定,為新臺幣五百二十五萬元至六百四十三萬元,也 是以醫學中心平均每百床的花費最高,專科醫院最低。各類抗生素中不論那一個年 度均以cephalosporin類為最常被使用之抗生素,所耗金額佔全部抗生素花費的 56.7%∼59.4%,但隨年代此比例小幅度下降。第二常用者為penicillin類,佔 14.1%∼15.0%;第三為aminoglycoside類,佔7.9%∼11.0%;第四為macrolide 類,佔3.5%∼4.3%;第五為fluoroquinolone類,佔1.9%∼3.6%。各等級 醫院均以此五類為最常使用之抗生素,其相對比例在不同等級醫院略有不同,區域 醫院及地區醫院相對的使用更多的cephalosporins,而醫學中心則相對於其他等級 醫院,使用較多的fluoroquinolones。各類的抗生素在各等級醫院中的使用分佈, 均以醫學中心佔最高比例,其次為區域醫院,而後為地區醫院,專科醫院最低。最 常被使用的cephalosporin若依第一代、第二代、第三代分別來看,則第一代 cephalosporin使用佔最高比例,佔全部cephalosporin使用金額的37.8%(83年) ∼48.2%(79年),佔全部cephalosporin使用數量的78.0%(83年)∼88.2%(79 年),有逐年下降的趨勢。其次高比例者為第二代cephalosporin,以金額計,佔 32.6%∼37.0%,以數量計,佔10.2%∼18.9%。佔最低比例者為第三代cephalosporin ,以金額計,佔19.2%(79年)∼28.5%(83年),以數量計,佔1.6%(79年) ∼3.1(83年),逐年明顯的增加。若以使用數量統計,在各等級醫院均以第 一代cephalosporin最常使用,其次為第二代,最少用的是第三代。但若以金額統 計,各等級醫院不同代cephalosporin使用之比例則有不同之分佈。由本調查研 究,得以知道臺灣地區公立醫院之抗生素使用情形及其使用趨勢。 |
英文摘要 | In order to understand the status of antibiotic usage in public hospitals in Taiwan, we collected and analysed the data of annual consumption of all antibiotics in sampled public hospitals around the whole island in 1990 ∼ 1994. In 1990 and 1991, the data were from 4 medical centers, 11 regional hospitals, 21 district hospitals and 8 specialty teaching hospitals. In 1994, the number of sampled hospitals increased to 7 medical centers, 17 regional hospitals, 48 district hospitals and 9 specialty teaching hospitals. The total number of bed-capacity in the sampled hospitals was 18, 299 in 1990 and 35,754 in 1994. During these 5 years, the costs of antibiotics accounted for 17.3% of total costs of all medications in the sampled hospitals:51.2% of the total antibiotic costs were consumed in medical centers, 28.3% in regional hospitals, 14.8% in district hospitals, and 5.7% in specialty teaching hospitals. The antibiotci costs per 100 beds was highest in medical centers and lowest in specialty teaching hospitals. The most commonly used category of antibiotic was cephalosporin, it accounted for 56.7% ∼ 59.4% of total antibiotic costs in different years and the percentage decreased gradually year by year. The second most commonly used category was penicillin, accounted for 14.1% ∼ 15.0% of total antibiotic costs. The other commonly used categories included aminoglycoside, macrolide and fluoroquinolone, they accounted for 7.9% ∼ 11.0%, 3.5% ∼ 4.3%, and 1.9% ∼ 3.6% of total antibiotic costs, respectively. Among various kinds of cephalosporins, the first generation cephalosporins accounted for 37.8% (in 1994) ∼ 48.2% (in 1990) of total annual costs of cephalosporins and 78.0% (in 1994 )∼ 88.2% (in 1990) of total amounts of annual cephalosporin consumption. The percentage decreased year by year. The second generation cephalosporins accounted for 32.6% ∼ 37.0% of annual cephalosporin costs and 10.2% ∼ 18.9% of total amounts. The third generation cephalosporins accounted for 19.2% (in 1990) ∼ 28.5% (in 1994) of annual cephalosporin costs and 1.6% (in 1990) ∼ 3.1% (in 1994) of total amounts, with increasing percentage. From this study, the status and trend of antibiotic usage in public hospitals during 1990 ∼ 1994 were illustrated and this may help us to understand the antibiotic usage in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。