Westergren T, Abrahamsen T G, Egeland T
Regionalt legemiddelinformasjonssenter, Rikshospitalet, Oslo.
Tidsskr Nor Laegeforen. 1999 Aug 10;119(18):2640-4.
Children are often treated with antiinfective drugs, both in and out of hospital, but few studies of antiinfective drug use in paediatric departments have been published. We have analysed the dispensing of antiinfective drugs from hospital pharmacies to all eight paediatric departments in south-eastern Norway (Health region 2) during the years 1990-95. The total consumption of antiinfective drugs, measured by the number of defined daily doses (DDD), did not increase during the study period, though the total costs for such drugs increased by 48% for all eight departments. In 1995 the antiinfective drug use varied between 15 and 30 defined daily doses per 100 bed days. The total use of cephalosporins increased significantly. For vancomycin, antifungal drugs and antiviral agents, both consumption and cost increased in several departments. Knowledge of the total use of antiinfective drugs may be important when evaluating treatment regimens, especially with regard to microbial resistance.
儿童无论在住院期间还是出院后都经常使用抗感染药物,但关于儿科部门使用抗感染药物的研究发表得很少。我们分析了1990年至1995年期间挪威东南部(第2个卫生区)所有8个儿科部门从医院药房领取抗感染药物的情况。以限定日剂量(DDD)数衡量,抗感染药物的总消耗量在研究期间没有增加,尽管这8个部门此类药物的总成本增加了48%。1995年,每100个床日的抗感染药物使用量在15至30个限定日剂量之间。头孢菌素的总使用量显著增加。对于万古霉素、抗真菌药物和抗病毒药物,几个部门的消耗量和成本都有所增加。在评估治疗方案时,尤其是考虑到微生物耐药性时,了解抗感染药物的总使用情况可能很重要。