摘要
目的考察抗菌药物专项整治过程中Ⅰ类切口围手术期抗菌药物使用的阶段性整治效果。方法每月对上月所有Ⅰ类切口手术围手术期抗菌药物使用进行回顾性调查,并对存在问题实施持续性干预。现抽取实施干预前:2011-09～11共205例与实施持续干预后:2012-09～11共218例的相关情况进行比较。结果总体预防使用率从干预前的73.17%降至干预后的33.94%;3类Ⅰ类切口手术预防使用率从干预前的71.05%降至干预后的10.53%;术前0.5～2 h预防使用率从干预前76.00%提高到干预后87.84%;平均用药疗程从干预前3.98 d降至干预后2.92 d。结论采取有效可行的持续性干预措施,对降低Ⅰ类切口手术围手术期抗菌药物预防使用率、平均住院天数,提高Ⅰ类切口手术围手术期选药的合理性、用药时机的合理性具有重要意义。
Objective To investigate the regulation effect on perioperative antibacterial drug application in patients with type I incisions in the antimicrobial drugs special rectification process.Methods Application of antibacterial drugs in 205 cases of type I incision from September to November in 2011 and in 218 cases of type I incision from September to November in 2012 was retrospectively analyzed to evaluate the effect of persistent intervention.Results The rate of prophylactic use of antibacterial drugs decreased from 73.17% to 33.94%.The rate of prophylactic use of antibacterial drugs of 3 types of Class I incision decreased from 71.05% to 10.53%.The prevention application rate of 0.5-2 h before the operation increased from 76.00% to 87.84%.The average time of prophylactic application of antibacterial drugs decreased from 3.98 to 2.92.Conclusion With the effective and feasible persistent interventions,to reduce the rate of prophylactic use of antibacterial drugs of type I incision and the average day of prophylactic use of antibacterial drugs,to improve the suitable rate of the choice of antibacterial drugs and reasonable medication time has important significance.
出处
《今日药学》
CAS
2013年第8期543-546,共4页
Pharmacy Today
关键词
Ⅰ类切口
围手术期
抗菌药物
持续干预
效果
type Ⅰ incision
perioperative
antimicrobial agents
continued intervention
consequent
