CAJ | 학술논문

目的了解围手术期患者抗菌药物临床应用情况,促进临床抗菌药物合理使用.方法随机抽查2012年1月至2012年6月住院患者术后抗菌药物使用情况.结果术前0.5~2h给予抗菌药物预防感染使用率由第一季度的90.48%上升至第二季度的96.20%;Ⅰ类切口抗菌药物预防使用率由一季度的73.84%降低至二季度65.66%;第一季度Ⅰ类切口抗菌药物预防使用人均用药天数与第二季度无显著差异;Ⅰ类切口手术抗菌药物预防使用时间不超过24h的比例从第一季度的50.22%下降至36.67%.结论经抗菌药物专项整治,某院围手术期抗菌药物临床应用合理率有所提高,但抗菌药物的临床应用还存在一些不足,医院需进一步加强管理.
목적료해위수술기환자항균약물림상응용정황,촉진림상항균약물합리사용.방법수궤추사2012년1월지2012년6월주원환자술후항균약물사용정황.결과술전0.5~2h급여항균약물예방감염사용솔유제일계도적90.48%상승지제이계도적96.20%;Ⅰ류절구항균약물예방사용솔유일계도적73.84%강저지이계도65.66%;제일계도Ⅰ류절구항균약물예방사용인균용약천수여제이계도무현저차이;Ⅰ류절구수술항균약물예방사용시간불초과24h적비례종제일계도적50.22%하강지36.67%.결론경항균약물전항정치,모원위수술기항균약물림상응용합리솔유소제고,단항균약물적림상응용환존재일사불족,의원수진일보가강관리.
Objective To comprehend the operation period patient clinical application of antibiotics, promote clinical rational use of antimicrobial agents. Methods A random check the use of antimicrobial agents in patients hospitalized from January 2012 to June 2012. Results Preoperative 0.5~2h given antibacterial drugs to prevent infection utilization rose to 96.20%in the second quarter from 90.48 percent in the first quarter.the class I incision antimicrobial prophylaxis utilization rate decreased from 73.84%in the first quarter from the quarter 65.66%. The first quarter of Class I incision antimicrobial prophylaxis use was no significant dif erence in the per capita number of days of medication with the second quarter. The classⅠincision surgical antimicrobial prophylaxis proportion of time does not exceed 24h decreased from 50.22% in the first quarter to 36.67%. Conclusion After the special rectification of antimicrobial drugs, This hospital perioperative clinical use of antibiotics reasonable rate has improved.But the clinical application of antibacterial drugs, there are stil some deficiencies, the hospitals need to further strengthen the management.