RESUMO
Objective To evaluate the current situation and trend of narcotic analgesics used in 29 hospitals of Nanjing from 2010 to 2012 and provide references for reasonable clinical drug utility .Methods Consumption of narcotic analgesics in 29 hospitals of Nanjing was analyzed retrospectively in terms of sales value , DDDs, DDC, etc.The DDDs, sales value and variety of narcotic anal-gesics were analyzed statistically according to the level , type and district of hospitals .Results There were a total of 13 kinds of nar-cotic analgesics in the 29 hospitals and the sales value increased yearly .During the 3 years,the DDDs of fentanyl citrate injection ,fent-anyl transdermal system and remifentanil hydrochloride were ranked in the forefront and the DDDs rank of controlled -release morphine and controlled-release oxycodone hydrochloride was stable .The sales value and DDDs in Drum Tower District were greater than other districts and increased yearly .Conclusion The application of narcotics analgesic in 29 hospitals of Nanjing was rational and complied with the relevant national regulations .
RESUMO
OBJECTIVE:To evaluate the rationality of vancomysin use in the hospital where the authors work.METH-ODS:50patients taking vancomysin between May.2005and Nov.2005were studied.The pathogenic examination,monitoring of drug concentration in blood,indices of renal function,combined use of drugs as well as adverse effects in these patients were reviewed and analyzed statistically.RESULTS:On the whole vancomysin use in our hospital was safe.CONCLUSION:Vancomysin use will be made safer by monitoring drug concentration in blood,individualizing drug administration,and timely correcting the aggravating factors of kidney injury.
RESUMO
OBJECTIVE:To understand the characteristics of adverse drug reactions(ADR)for their rational use in clin-ic.METHODS:242ADR cases had been collected from July1,2002to June30,2003in our hospital.All the cases were analyzed in respect of drug species,categories of anti-infective drugs,involved organ systems,ways of administration and ages of the patients.RESULTS:Among the242cases of ADR,the reasons were found to be related to use of anti-infective drugs,the quality of injection fluid of traditional Chinese medicine,ways of intravenous administration,the older age of the patients,ADR were mainly manifested as skin and local lesion.CONCLUSION:Rational use of anti-infective drugs and the good quality of the traditional Chinese medicine injections should be emphasized to decrease the occurrence of ADR.