摘要
目的探讨围手术期预防性抗生素应用受阻的情况。方法收集新疆医科大学第一附属医院2012年1-6月围手术期应用预防性抗菌药物医嘱总数9 512例,采用新疆医科大学第一附属医院手术部设计的"预防性抗生素应用存在问题登记表"进行调查,数据分析采用SPSS17.0统计软件处理。结果 9 512例预防性抗菌素医嘱中应用受阻病例187例,其中延误6例,未执行181例。受阻原因依次为无术中医嘱或医嘱错误50例(26.74%),抗生素交接失误45例(24.06%),用药间隔时间太短38例(20.32%),皮试时间过期27例(14.44%),执行皮试医嘱不到位24例(12.83%),药物变质2例(1.07%),药物过敏1例(0.54%)。结论规范围手术期预防性抗生素用药流程,严格执行交接查对制度,加强护理人员药理知识和操作技能的培训,可减少抗生素应用受阻现象。
Objective To discuss the clinical application on preventive antibiotic during perioperative peri-od .Methods 9512 cases of doctor′s advice are collected on the clinical application on preventive antibacte-rial during perioperative period between January ,2012 and June ,2012 from Central Operating Room of the First Affliated Hospital of Xinjiang Medical University .The date was adopt the Prophylactic antibiotics application problems of the registration form design from Operating Room of the First Affliated Hospital of Xinjiang Medical University .The Data analysis was dealed with using SPSS17 .0 statistical software .Re-sults There were 187 cases of obstruction from the 9512 cases of doctor′s advice of prophylactic antibiot-ics .among which 187 cases ,6 cases of delayed ,181 cases were not performed .The reason were expounded and analyzed by 50 cases of absence or error of doctor′s advice during operation （26 .74% ） ,45 cases of misplays of antibiotic handover （24 .06% ） ,38 cases of time interval was too short （20 .32% ） ,27 cases of overdue skin tests before operation （14 .44% ） ,24 cases of nurses＇improper disposal of doctor′s temporary advice （12 .83% ） ,2 cases of drug metamorphism （1 .07% ） ,one case of drug allergy （0 .53% ） .Conclu-sion Strict standardization throughout drug using process on preventive antibiotic during perioperative pe-riod ,strictly carry out handover check system and enhanced pharmacology training on nursing staff ,Anti-biotic application phenomenon were greatly reduced .
出处
《新疆医科大学学报》
CAS
2013年第9期1388-1390,共3页
Journal of Xinjiang Medical University
基金
新疆医科大学第一附属医院护理专项基金(2010HL08)
关键词
围手术期
抗生素
应用受阻
perioperative period
antibiotic
application suffocating
