Effect of the centerized bidding system of drug on the use of antibacterials in five country public hospitals in Anhui Province

Objective: To analyze the effects of the centerized bidding system of drug on the use of antibacterials in five county public hospitals in Anhui province. Methods: The purchasing varieties, distribution amount, defined daily dose system(DDDs) and DDC of antibacterials in five county public hospitals before and after the bidding were analyzed. Results: After bidding, except for monocyclic drug, the varieties, shipping amount and DDDs of antibacterials increased obviously. The categories of the top three drugs after bidding were cephalosporins, compound preparation and quinolones, respectively, which was the same as before bidding. The DDDs of clavulanate potassium injection ranked was the first before and after bidding. Among the top 10 ranking antibacterials in DDDs, the DDC in 8 kinds of drugs decreased after bidding. Conclusions: The centerized bidding system of drug reduces the DDC of many antibacterials, and improves the rational use of drugs. Improving the centerized bidding system can play a positive role in promoting the rational use of drugs in medical institutions.