CAJ | 학술논문

目的分析2012年继续开展抗菌药物专项整治活动对我院清洁手术预防使用抗菌药物的影响.方法2012年1月我院全部符合条件的清洁手术病例为活动前组，以继续开展抗菌药物专项整治活动后的2012年5月我院全部符合条件的清洁手术病例为活动后组，汇总、分析后评价围手术期预防使用抗菌药物的合理性及降低清洁手术抗菌药物使用率对术后切口甲级愈合率的影响.结果继续开展抗菌药物专项整治活动后清洁手术预防用抗菌药物的使用率明显降低，从活动前的63.30%降至40.84%；用药时机、用药疗程等较活动前更为合理，活动前后清洁手术切口甲级愈合率之间无显著性差别.结论我院继续开展抗菌专项整治活动后，清洁手术围手术期抗菌药物的使用更加合理，未对医疗安全造成不良影响.
목적분석2012년계속개전항균약물전항정치활동대아원청길수술예방사용항균약물적영향.방법2012년1월아원전부부합조건적청길수술병례위활동전조，이계속개전항균약물전항정치활동후적2012년5월아원전부부합조건적청길수술병례위활동후조，회총、분석후평개위수술기예방사용항균약물적합이성급강저청길수술항균약물사용솔대술후절구갑급유합솔적영향.결과계속개전항균약물전항정치활동후청길수술예방용항균약물적사용솔명현강저，종활동전적63.30%강지40.84%；용약시궤、용약료정등교활동전경위합리，활동전후청길수술절구갑급유합솔지간무현저성차별.결론아원계속개전항균전항정치활동후，청길수술위수술기항균약물적사용경가합리，미대의료안전조성불량영향.
OBJECTIVE TO analyze the influence of preventive use of antibiotics in the hospital 2012 to continue antibacterial drug special rectification activities.METHODS The cases with the hospital clean surgery in January 2012 were selected by coincident condition as the control group and the same cases ,as the intervention group from May to now. Then the rationality of the preventive administration of antibiotics and the impact of reducing the clean surgery antibiotics use in the Grade postoperative wound healing rate was retrospectively analyzed and evaluated.Results:With the hospital 2012 to continue antibacterial drug special rectification activities ,the rate of using antibiotics decreased from the previous 63.30% to 40.84%. The time and course of using antibiotics were more reasonable than before the activities,and the Class A clean surgical incision healing rate was no significant difference .Conclusion:After the activities clean perioperative use of antimicrobial agents is more reasonable,at the same time there is no adversely affect in the health care safety.