摘要
目的探讨持续质量改进对甲状腺、乳腺手术及疝气修补术3种Ⅰ类切口手术围手术期预防性使用抗菌药物的作用。方法对2009年9月甲状腺、乳腺手术及疝气修补术3种Ⅰ类切口手术围手术期预防性使用抗菌药物进行回顾性分析,确定目标,制定相关环节的改进方案,测定实施结果。结果经过持续质量改进,抗菌药物使用率明显降低,抗菌药物费用明显下降,2010年5月用药疗程过长和无指征用药等不合理用药情况均得到明显改善。结论持续质量改进明显提高Ⅰ类切口围手术期合理使用抗菌药物水平。
OBJECTIVE To investigate the effect of continuous quality improvement（CQI） on preventive use of antibiotics during perioperative period of typeⅠincision operations of thyroid gland,mammary gland and hernia.METHODS The preventive use of antibiotics at perioperative period of typeⅠincision operations of thyroid gland,mammary gland and hernia in Sep 2009 was retrospectively analyzed,and since then the measures for CQI were implemented.RESULTS By CQI,antibiotics utilization ratio and antibiotics cost were decreased obviously.There were clear improvements in irrational antibiotics utilization such as long treatment course of antibiotics and medication without indications,etc.in May 2010.CONCLUSION Rational antibiotics utilization can be improued by CQI during perioperative period of typeⅠincision operations.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第15期3234-3236,共3页
Chinese Journal of Nosocomiology
关键词
持续质量改进
围手术期
预防性使用
抗菌药物
Continuous quality improvement
Perioperative period
Preventive use
Antibiotics
