摘要
目的:了解惠州市第一妇幼保健院(以下简称"我院")Ⅰ类切口手术围术期预防性应用抗菌药物的情况,评价其合理性,为医院质控提供依据,以提高医院抗菌药物应用水平。方法:抽取我院2014年7月—2015年6月Ⅰ类切口手术病历613份,对围术期抗菌药物的使用情况进行统计分析。结果:抗菌药物预防性使用率为28.71%(176/613),无指征预防性用药率为2.12%(13/613)。176例预防性应用抗菌药物患者中,品种选择合理率为81.82%(144/176),术前给药时间合理率为88.07%(155/176),用药疗程合理率为86.36%(152/176)。结论:我院Ⅰ类切口手术围术期抗菌药物预防性使用率已达卫生部的规定(<30%),但仍存在品种选择不合理、给药时间不合理、用药疗程不合理等情况,抗菌药物使用水平仍需提高。
OBJECTIVE： To investigate the prophylactic use of antibiotics in type Ⅰ incision during perioperative period in the First Maternal and Child Health Hospital of Huizhou（ hereinafter referred to as ＂our hospital＂）,and to evaluate the rationality so as to provide basis for the hospital quality control and improve the level of use of antibiotics in our hospital. METHODS： 613 medical records of type Ⅰ incision were extracted from our hospital during Jul. 2014 to Jun. 2015,the use of antibiotics during perioperative period were statistically analyzed. RESULTS： The rate of prophylactic use of antibiotics was 28. 71%（ 176 /613）,the rate of prophylactic use of no indications was 2. 12%（ 13 /613）. Of the 176 cases of patients with prophylactic use of antibiotics,the rational rate of variety selection was81. 82%（ 144 /176）,the rational rate of delivery time was 88. 07%（ 155 /176）,and the rational rate of treatment course was 86. 36%（ 152 /176）. CONCLUSIONS： The rate of prophylactic use of antibiotics in type Ⅰ incision during perioperative period in our hospital has reached the provisions of the Ministry of Health（ 30%）,yet there are still some problems as irrational variety selection,improper delivery time and irrational treatment course; therefore,the level of use of antibiotics still needs to improved.
出处
《中国医院用药评价与分析》
2016年第5期646-648,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
广东省惠州市科技计划项目(No.20150809)
关键词
Ⅰ类切口
抗菌药物
预防性用药
合理用药
Type Ⅰ incision
Antibiotics
Prophylactic use
Rational drug use
