CAJ | 학술논문

目的评价专项整治活动开展前后抗菌药物临床应用情况.方法收集该院抗菌药物专项整治前,即2010年1月至2011年6月抗菌药物使用相关数据;与整治后2011年7月至2013年8月抗菌药物使用相关数据进行统计分析.结果 (1)实施专项整治后,该院抗菌药物使用日趋合理.监测指标中,住院患者抗菌药物使用率、抗菌药物使用强度、Ⅰ类切口抗菌药物预防使用率、外科手术预防使用抗菌药物时间在0.5～2h符合率及Ⅰ类切口手术预防用药疗程符合率整治前后差异有统计学意义(P＜0.05).(2)该院铜绿假单胞菌和金黄色葡萄球菌耐药率在抗菌药物专项整治前后,经W检验差异有统计学意义(P＜0.05).结论抗菌药物专项整治非常有必要,通过专项整治,抗菌药物的使用更加合理.
목적 평개전항정치활동개전전후항균약물림상응용정황.방법 수집해원항균약물전항정치전,즉2010년1월지2011년6월항균약물사용상관수거;여정치후2011년7월지2013년8월항균약물사용상관수거진행통계분석.결과 (1)실시전항정치후,해원항균약물사용일추합리.감측지표중,주원환자항균약물사용솔、항균약물사용강도、Ⅰ류절구항균약물예방사용솔、외과수술예방사용항균약물시간재0.5～2h부합솔급Ⅰ류절구수술예방용약료정부합솔정치전후차이유통계학의의(P＜0.05).(2)해원동록가단포균화금황색포도구균내약솔재항균약물전항정치전후,경W검험차이유통계학의의(P＜0.05).결론 항균약물전항정치비상유필요,통과전항정치,항균약물적사용경가합리.
Objective To evaluate the current status of clinical application of antibiotics pre-and post-special rectification activities.Method The data of antibiotics use pre-special activities (from January 2010 to June 2011) and post-Special activities (from July 2011 to August 2013) were collected and compared.Results There was a remarkable improvement on the rationality of antibiotics use in post-special activities.The monitoring index,the utilization rate of antibacterial drugs in hospitalized patients antibacterial use density,the prophylaxis usage of the Class Ⅰ incision antimicrobial drug,the time compliance rate of the prophylaxis usage of antimicrobial drug for surgical operations,which should be between 0.5-2 h,and the compliance rate of surgical prophylaxis treatment of Class Ⅰ incision,with W test,the difference of the monitoring index between pre-and post-special activities was statistically significant (P ＜ 0.05).The difference of pseudomonas aeruginosa and staphylococcus aureus resistant rate was statistically significant (P ＜ 0.05) with W test.Conclusion Special activities on antibiotics use is very necessary,it can accelerate clinical use of antimicrobial drugs.