ABSTRACT
OBJE CTIVE To explore the rational application and management of antibiotics in burn department of our hospital based on disease diagnosis related groups （DRGs）. METHODS Patients discharged from the burn department of our hospital from July 2020 to June 2021 were selected as the research objects to collect DRG data. The overall application of antibiotics in DRG group with more than 10 cases were analyzed ，and the application of antibiotics in typical disease groups were evaluated horizontally and vertically. RESULTS Among 3 732 discharged cases in the burn department of our hospital ，a total of 3 515 cases were included in 66 DRG groups ，21 DRG groups of which were included in the study. Among 21 DRG groups ，the maximum antibiotics use density （AUD）of antibiotics was 102.20 DDDs/（100 person·d）in AH 11 group，the utilization ratio of antibiotics was 100％，and the combined use rate of antibiotics was 81.82％；case-mix index （CMI）value was 11.49. The minimum AUD was 1.01 DDDs/（100 person·d）in XR 19 group，the utilization ratio of antibiotics was 5.06％，and the combined use rate of antibiotics was 0；CMI value was 0.81. Within the same core group ，AUD increased with the increase of CMI. The horizontal comparison and analysis of WB 11 group showed that there was a large gap in AUD among different physicians. The vertical comparison of AUD in WB11 group showed relatively small changes over time. CONCLUSIONS The horizontal and vertical evaluation of antibiotics based on DRGs can provide new clues for the control of antibiotics and help to realize the fine specialized management of antibiotics.
ABSTRACT
Objective To analyze the monitoring results of iodine deficiency disorders (IDD) of Dehong State in 2017,to find out the present situation of prevention and control of IDD,and to provide scientific basis for guiding the comprehensive prevention and control of IDD in our state in the future.Methods According to "Yunnan Iodine Deficiency Disorders Monitoring Program",a sampling survey was conducted in 5 counties (cities) of Dehong State,Yunnan Province.Urine and household salt samples were collected from children aged 8 to 10 years old and pregnant women in Mangshi,Lianghe County and Yingjiang County.Iodine content was detected.In addition,household salt samples of Ruili City and Longchuan County were collected to detect iodine content.Results There were 1 609 salt samples from local inhabitants,the coverage rate of iodized salt was 99.19％ (1 596/1 609),the edible rate of qualified iodized salt was 95.03％ (1 529/1 609) and the median of iodized salt was 23.76 mg/kg.The median of urinary iodine in 623 children aged 8 to 10 years old was 221.34 μg/L and the thyroid enlargement rate was 0.48％ (3/623).The median of urinary iodine in 346 pregnant women was 159.52 μg/L.Conclusion The iodine nutrition of children aged 8 to 10 years old and pregnant women of Dehong State is appropriate in 2017.
