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临床药师应用PDCA循环干预Ⅰ类切口手术预防性使用抗菌药物的效果评价 被引量:4

Evaluation of the effect of PDCA cycle intervention on prophylactic use of antibiotics in type Ⅰ incision surgery by clinical pharmacists
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摘要 目的评价临床药师应用PDCA循环干预Ⅰ类切口手术预防性使用抗菌药物的效果。方法选取2018年1月~2018年12月Ⅰ类切口手术患者160例,随机分为观察组80例、对照组80例,分别应用PDCA循环干预、常规干预,对两组的效果进行评价。结果观察组Ⅰ类切口手术患者的切口感染发生率2.50%低于对照组患者11.25%(P <0.05);观察组Ⅰ类切口手术患者的抗菌药物使用率26.25%,低于对照组患者抗菌药物使用率43.75%(P <0.05);观察组Ⅰ类切口手术患者的抗菌药物使用疗程、使用药物种类与对照组比较差异有统计学意义(P <0.05)。结论通过临床药师应用PDCA循环干预Ⅰ类切口手术预防性使用抗菌药物,取得了显著效果,切口感染发生率、抗菌药物使用率、疗程及种类均显著下降,使抗菌药物管理更加科学化、规范化、制度化。 Objective To evaluate the effect of PDCA circulation intervention on the prophylactic use of antibiotics in class I incision operation. Methods 160 patients with class I incision from January 2018 to December 2018 were randomly divided into observation group(80 cases) and control group(80 cases). PDCA circulation intervention and routine intervention were used to evaluate the effect of the two groups. Results The incidence of incision infection in the observation group was 2.50% lower than that in the control group(11.25%).There was statistical significance(P < 0.05). Conclusion The clinical pharmacists used PDCA circulation to intervene the prophylactic use of antibiotics in class I incision operation, and achieved remarkable results. The incidence of incision infection, the use rate of antibiotics, the course of treatment and the types of antibiotics decreased significantly, which made the management of antibiotics more scientific, standardized and systematic.
作者 刘爱云 丁勇 李春 LIU Ai-yun;DING Yong;LI Chun(Department of pharmacy,People's Hospital of Fengxian,Jiangsu Province 221700,China)
出处 《中国处方药》 2019年第12期33-35,共3页 Journal of China Prescription Drug
关键词 临床药师 PDCA循环 Ⅰ类切口手术 抗菌药物 Clinical pharmacist PDCA circulation Class I incision operation Antibiotics
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