CAJ | 학술논문

目的评价药学干预乳腺、甲状腺和疝气三种Ⅰ类切口手术围手术期预防用抗菌药物使用的效果.方法临床药师下临床,教育和培训相关的医务人员,对不合理使用抗菌药物实施干预,全院通报;院感科协助,对干预前后抗菌药物的使用率、使用品种、使用品种数、平均使用品种数、使用时机、疗程和平均使用金额进行对比.结果干预后抗菌药物的使用率较干预前下降92.09％,使片品种由两大类16个品种减少到一类3个品种,平均使用品种数南干预前的1.64下降到干预后的0.08,平均使用金额由干预前的917.76元下降到干预后的9.88元.结论对3种Ⅰ类切口手术围手术期预防用抗菌药物实施药学、行政和院感的三方面共同干预,使抗菌药物的使用品种数和使用率明显下降,药物费用也显著下降,证明干预措施有效,可有效促进抗菌药物的合理使用.
목적 평개약학간예유선、갑상선화산기삼충Ⅰ류절구수술위수술기예방용항균약물사용적효과.방법 림상약사하림상,교육화배훈상관적의무인원,대불합리사용항균약물실시간예,전원통보;원감과협조,대간예전후항균약물적사용솔、사용품충、사용품충수、평균사용품충수、사용시궤、료정화평균사용금액진행대비.결과 간예후항균약물적사용솔교간예전하강92.09％,사편품충유량대류16개품충감소도일류3개품충,평균사용품충수남간예전적1.64하강도간예후적0.08,평균사용금액유간예전적917.76원하강도간예후적9.88원.결론 대3충Ⅰ류절구수술위수술기예방용항균약물실시약학、행정화원감적삼방면공동간예,사항균약물적사용품충수화사용솔명현하강,약물비용야현저하강,증명간예조시유효,가유효촉진항균약물적합리사용.
Objective To evaluate the effects of antibacterials used on type Ⅰ of operative incision perioperation on galactophore thyroid gland and hernia.Methods Clinical pharmacists should teach and train the related medical staff so that unreasonable administration of drug can be prevented and announced all around the hospital.The paper analyzed the variation of frequency variety quantities and opportunity treatment and fee when the antibacterial was intervened.Results After intervention,the frequency declined 92.09％,variation also from originally 2 types of 16 kinds of declined to down to 1 types of 3 kinds,average used kinds were 1.64 down to 0.08,average fee was 917.76 down to 9.88 yuan.Conclusion Throughjoint intervention of pharmacy and administration,the variation frequency and fee sharply decline.It proves the intervening measure effected and promoted the rational administration antibacterials.