摘要
目的介绍本院的干预措施对内分泌外科清洁手术预防用抗菌药物的影响。方法随机抽取某三甲医院2009年5月至2010年2月,2010年6月至2011年4月本科的清洁手术病例进行对照,回顾性调查分析干预前后预防使用抗菌药物的情况。干预手段通过宣传教育、行政干预和药师干预3个方面进行。结果干预后,平均住院时间由9.03d下降到5.65d,住院总费用下降了14.1%,抗菌药物费用下降了55.7%,预防使用抗菌药物比例从80.4%下降到48.0%,术前0.5～2h使用抗菌药物由17.8%上升到50.6%;但在药物选择和术后使用时间方面还存在一定的问题。结论本院干预措施能提高临床合理使用抗菌药物水平,干预方法有效、可行。
Objective To introduce the influence of our intervention measures in the intervention of perioperative prophylactic uses of antibacterials in endocrine surgery.Methods The patients from May 2009 to Feb.2010（pre-intervention） and from June 2010 to Apr.2011（post-intervention） were collected.The antibacterials use of clean operation was retrospectively analyzed.Intervention measures included：propaganda education,administrative intervention,and pharmacist intervention.Results Compared pre-and post-intervention,the average hospitalization days decreased from 9.03d to 5.65d.The average hospitalization expenses and antibacterial cost decreased by 14.1% and 55.7%,respectively.The percentage of antibacterial prophylactic use decreased from 80.4% to 48%.Using antibacterials 0.5-2 h before operation went up from 17.8% to 50.6%.But,there were still some problems in the aspects of antibacterial selection and the length of postoperative time.Conclusion Our intervention measures on preventive use of antibacterial drugs in clean operations achieved remarkable outcome,which is worthy of clinical recommendation.
出处
《重庆医学》
CAS
CSCD
北大核心
2012年第12期1176-1177,1180,共3页
Chongqing medicine
关键词
干预措施
清洁手术
抗菌药
intervention measures
clean operation
anti-bacterial agents
