摘要
目的调查分析抗菌药物专项整治前后本院Ⅰ类切口围术期预防用药情况,了解专项整治活动的效果。方法随机抽取Ⅰ类切口手术病历400份,其中2011年1～6月(整治前)病历200份,2012年1～6月(整治后)病历200份。比较专项整治活动前后Ⅰ类切口围术期预防用抗菌药物的合理性。结果整治后本院Ⅰ类切口手术抗菌药物预防合理使用方面较整治前有很大改善,抗菌药物使用率由78.0%降为33.0%,人均使用抗菌药物费用由529.3元降为195.7元,人均使用抗菌药物天数由2.04d减至0.95d。整治后清洁手术预防使用抗菌药物的比例仍稍高于卫生部要求的<30%。结论专项整治活动有助于促进抗菌药物的合理使用,整治后本院Ⅰ类切口围术期抗菌药物使用情况有很大改善,但仍存在预防用药比例稍高、用药时间长、品种选择不合理等现象,尚需加强预防应用抗菌药物的管理。
Objective To investigate and analyze the situation of perioperative prophylactic use of antibacterial for Class Ⅰ incision before and after special rectification of our hospital,and to understand the effect of the special rectification activities.Methods Four hundred surgical medical records of class Ⅰ incision were randomly selected,including 200 medical records from January to June 2011 （before rectification） and 200 medical records from January to June 2012 （after rectification）.The rationality of perioperative prophylactic use of antibacterial for class Ⅰ incision before and after special rectification was compared.Results After rectification,the situation of perioperative prophylactic use of antibacterial for class Ⅰ incision of our hospital had been greatly improved,compared to the situation before rectification.The usage rate of antibacterial decreased from 78.0% to 33.0%,per capita cost of antimicrobial from 529.3 yuan to 195.7 yuan,and per capita days of using antimicrobial from 2.04 days to 0.95 days.After rectification,the usage proportion of prophylactic use of antibacterial for aseptic surgery was still slightly higher than 30% required by Ministry of Health.Conclusion The special rectification activities can contribute to promoting the rational use of antimicrobial.The situation of perioperative prophylactic use of antibacterial for class Ⅰ incision of our hospital had been greatly improved after rectification.But there is still a slightly higher proportion,longer time of prophylactic use,and unreasonable selection of species,still need to strengthen the management of prophylactic use of antibacterial.
出处
《中国当代医药》
2013年第21期171-172,174,共3页
China Modern Medicine
关键词
专项整治
Ⅰ类切口手术
预防用抗菌药物
Special rectification
Surgery of class Ⅰ incision
Prophylactic use of antibacterial
