国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
2期
236-239
,共4页
骨科手术%Ⅰ类切口%抗菌药物%干预效果
骨科手術%Ⅰ類切口%抗菌藥物%榦預效果
골과수술%Ⅰ류절구%항균약물%간예효과
Orthopedic surgery%Type Ⅰ incision%Antimicrobial drug%Intervention effect
目的 通过对比分析干预前、后我院骨科Ⅰ类切口手术围手术期预防用药情况,探讨临床药师干预的有效性.方法 回顾性调查骨科201 2年第一季度和2013年第一季度Ⅰ类切口手术病例,对每月Ⅰ类切口手术预防用药比例、预防用药品种选择合理率、预防用药时机合理率、平均预防用药时间等具体指标进行统计,分析实施干预前后抗菌药物使用情况.结果 干预后骨科Ⅰ类切口手术预防使用抗菌药物的比率显著下降,由干预前的90.34％降至干预后的54.69％;平均用药天数由干预前的2.24天下降到干预后的1.55天,24 h内停药百分率由干预前的21.40％升至干预后的63.43％.结论 临床药师通过参与抗菌药物临床应用管理,使得骨外科Ⅰ类切口手术不合理使用抗菌药物的现象明显改善,干预措施对规范使用抗菌药物有明显的促进作用.
目的 通過對比分析榦預前、後我院骨科Ⅰ類切口手術圍手術期預防用藥情況,探討臨床藥師榦預的有效性.方法 迴顧性調查骨科201 2年第一季度和2013年第一季度Ⅰ類切口手術病例,對每月Ⅰ類切口手術預防用藥比例、預防用藥品種選擇閤理率、預防用藥時機閤理率、平均預防用藥時間等具體指標進行統計,分析實施榦預前後抗菌藥物使用情況.結果 榦預後骨科Ⅰ類切口手術預防使用抗菌藥物的比率顯著下降,由榦預前的90.34％降至榦預後的54.69％;平均用藥天數由榦預前的2.24天下降到榦預後的1.55天,24 h內停藥百分率由榦預前的21.40％升至榦預後的63.43％.結論 臨床藥師通過參與抗菌藥物臨床應用管理,使得骨外科Ⅰ類切口手術不閤理使用抗菌藥物的現象明顯改善,榦預措施對規範使用抗菌藥物有明顯的促進作用.
목적 통과대비분석간예전、후아원골과Ⅰ류절구수술위수술기예방용약정황,탐토림상약사간예적유효성.방법 회고성조사골과201 2년제일계도화2013년제일계도Ⅰ류절구수술병례,대매월Ⅰ류절구수술예방용약비례、예방용약품충선택합리솔、예방용약시궤합리솔、평균예방용약시간등구체지표진행통계,분석실시간예전후항균약물사용정황.결과 간예후골과Ⅰ류절구수술예방사용항균약물적비솔현저하강,유간예전적90.34％강지간예후적54.69％;평균용약천수유간예전적2.24천하강도간예후적1.55천,24 h내정약백분솔유간예전적21.40％승지간예후적63.43％.결론 림상약사통과삼여항균약물림상응용관리,사득골외과Ⅰ류절구수술불합리사용항균약물적현상명현개선,간예조시대규범사용항균약물유명현적촉진작용.
Objective To explore the effectiveness of clinical pharmacists' intervention comparatively analyzing the prophylactic use of antimicrobial agents before and after the intervention on type Ⅰ incision surgery during perioperation period in the orthopedic department of our hospital.Methods The cases undergoing type Ⅰ incision surgery who were selected from the orthopedic department of our hospital in the first quarters of 2012 and 2013 were retrospectively investigated.The proportions,rational rates of drug selecting and timing,mean times of prophylactic drug use for type Ⅰ incision surgery in each month were statistically analyzed.Results After the invention,the proportion of prophylactic drug use dropped from 90.34％ to 54.69％,the mean time shortened to 1.55 days from 2.24 days,drug withdrawal rate within 24 hours increased from 21.40％ to 63.43％.Conclusions If the clinical pharmacists take part in the management of antibiotics use,the irrational use of antimicrobial drugs for type Ⅰ incision surgery in orthopedic department will be lessened.Intervention measures play a significant role in regulating the use of antimicrobial drugs.
