中国药物应用与监测
中國藥物應用與鑑測
중국약물응용여감측
CHINESE JOURNAL OF DRUG APPLICATION AND MONITORING
2013年
3期
157-159,160
,共4页
Ⅰ类切口手术%抗菌药物%干预%对比分析
Ⅰ類切口手術%抗菌藥物%榦預%對比分析
Ⅰ류절구수술%항균약물%간예%대비분석
Type I incision operation%Antibacterial agents%Intervention%Comparative study
目的：调研干预前后我院Ⅰ类切口手术围手术期预防性应用抗菌药物的状况，为临床合理用药提供参考。方法：根据国家开展的抗菌药物专项整治活动精神及医院抗菌药物管理要求，抽取我院2011年1–6月（干预前）和2012年1–6月（干预后）Ⅰ类切口手术出院病历各180份，对比分析干预前后抗菌药物的使用情况。结果：与2011年相比，2012年1–6月我院Ⅰ类切口手术预防性应用抗菌药物使用率由98.33%降至46.11%，联合用药比例由22.60%降至2.41%，品种选择合理率由29.38%升至67.47%，用药时机合理率由16.38%升至61.45%，用药疗程合理率由8.47%升至53.01%。结论：我院采取的干预措施提高了Ⅰ类切口手术围手术期预防用药的合理性，但仍存在预防性抗菌药物使用率偏高、预防用药时间偏长等不合理之处，需进一步加强监督管理力度，促进围手术期抗菌药物的合理使用。
目的：調研榦預前後我院Ⅰ類切口手術圍手術期預防性應用抗菌藥物的狀況，為臨床閤理用藥提供參攷。方法：根據國傢開展的抗菌藥物專項整治活動精神及醫院抗菌藥物管理要求，抽取我院2011年1–6月（榦預前）和2012年1–6月（榦預後）Ⅰ類切口手術齣院病歷各180份，對比分析榦預前後抗菌藥物的使用情況。結果：與2011年相比，2012年1–6月我院Ⅰ類切口手術預防性應用抗菌藥物使用率由98.33%降至46.11%，聯閤用藥比例由22.60%降至2.41%，品種選擇閤理率由29.38%升至67.47%，用藥時機閤理率由16.38%升至61.45%，用藥療程閤理率由8.47%升至53.01%。結論：我院採取的榦預措施提高瞭Ⅰ類切口手術圍手術期預防用藥的閤理性，但仍存在預防性抗菌藥物使用率偏高、預防用藥時間偏長等不閤理之處，需進一步加彊鑑督管理力度，促進圍手術期抗菌藥物的閤理使用。
목적：조연간예전후아원Ⅰ류절구수술위수술기예방성응용항균약물적상황，위림상합리용약제공삼고。방법：근거국가개전적항균약물전항정치활동정신급의원항균약물관리요구，추취아원2011년1–6월（간예전）화2012년1–6월（간예후）Ⅰ류절구수술출원병력각180빈，대비분석간예전후항균약물적사용정황。결과：여2011년상비，2012년1–6월아원Ⅰ류절구수술예방성응용항균약물사용솔유98.33%강지46.11%，연합용약비례유22.60%강지2.41%，품충선택합리솔유29.38%승지67.47%，용약시궤합리솔유16.38%승지61.45%，용약료정합리솔유8.47%승지53.01%。결론：아원채취적간예조시제고료Ⅰ류절구수술위수술기예방용약적합이성，단잉존재예방성항균약물사용솔편고、예방용약시간편장등불합리지처，수진일보가강감독관리력도，촉진위수술기항균약물적합리사용。
Objective: To compare and analyze the usage of prophylactic antibacterial drugs during perioperative period in type I incision operations before and after intervention, and provide references for rational use of antibacterial drugs in clinic. Methods:According to the content of the national renovation of the antibacterial agents and the requirement of our hospital, a comparative study of the usage of antibacterial drugs was conducted on the 180 cases of type I incision operations collected from January to June of 2011 (pre-intervention) and 180 others from January to June of 2012 (post-intervention). Results:Compared with pre-intervention in 2011, the percentage of prophylactic use of antibacterials decreased from 98.33%to 46.11%after intervention in 2012;the rate of combination use of drugs decreased from 22.60%to 2.41%;the rate of reasonable choice of antibacterials increased from 29.38%to 67.47%;the rate of rationality of administration time and medication duration increased from 16.38%to 61.45%and from 8.47%to 53.01%, respectively. Conclusion:The intervention measures were proved to be practicable and effective in improving the rationality of prophylactic use of antibacterial drugs during perioperative period in type I incision operations. Still there were some irrational problems, such as high rate of prophylactic use of antibacterial drugs and long duration time for preventing infection. Therefore, we should strengthen the management to promote the rational use of antibacterial drugs during perioperative period.
