中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
33期
12-14
,共3页
付辛芳%薛梅苓%王全华%吴爽爽%郭建芳
付辛芳%薛梅苓%王全華%吳爽爽%郭建芳
부신방%설매령%왕전화%오상상%곽건방
I类切口%预防用药%抗菌药物%干预
I類切口%預防用藥%抗菌藥物%榦預
I류절구%예방용약%항균약물%간예
Type I incision%Prophylactic drug use%Antibacterials%Intervention
目的：探讨该院I类切口手术预防用抗菌药物的干预控制措施和效果。方法选取该院2011年1—6月收治的289例行I类切口手术患者作为非干预组，另选2012—2014年上半年收治的行I类切口手术患者作为干预组，比较分析I类切口手术预防用抗菌药物的应用规范情况。结果非干预组I类切口手术预防用抗菌药物的总使用率为99.3%，干预组1，2，3的使用率分别为79.5%，69.4%，56.5%。干预前一代头孢菌素在I 类切口中的预防使用率为22.6%；干预组1，2，3分别为43.1%，55.4%，65.8%；通过临床药师的干预，该院预防用药的选药、用药指征、给药时机、使用剂量与用法、术中追加情况、预防用药疗程等各方面的合理率都有所提高。结论该院实施的干预措施对规范I类切口预防用抗菌药物起了积极的作用，取得了显著的效果。
目的：探討該院I類切口手術預防用抗菌藥物的榦預控製措施和效果。方法選取該院2011年1—6月收治的289例行I類切口手術患者作為非榦預組，另選2012—2014年上半年收治的行I類切口手術患者作為榦預組，比較分析I類切口手術預防用抗菌藥物的應用規範情況。結果非榦預組I類切口手術預防用抗菌藥物的總使用率為99.3%，榦預組1，2，3的使用率分彆為79.5%，69.4%，56.5%。榦預前一代頭孢菌素在I 類切口中的預防使用率為22.6%；榦預組1，2，3分彆為43.1%，55.4%，65.8%；通過臨床藥師的榦預，該院預防用藥的選藥、用藥指徵、給藥時機、使用劑量與用法、術中追加情況、預防用藥療程等各方麵的閤理率都有所提高。結論該院實施的榦預措施對規範I類切口預防用抗菌藥物起瞭積極的作用，取得瞭顯著的效果。
목적：탐토해원I류절구수술예방용항균약물적간예공제조시화효과。방법선취해원2011년1—6월수치적289례행I류절구수술환자작위비간예조，령선2012—2014년상반년수치적행I류절구수술환자작위간예조，비교분석I류절구수술예방용항균약물적응용규범정황。결과비간예조I류절구수술예방용항균약물적총사용솔위99.3%，간예조1，2，3적사용솔분별위79.5%，69.4%，56.5%。간예전일대두포균소재I 류절구중적예방사용솔위22.6%；간예조1，2，3분별위43.1%，55.4%，65.8%；통과림상약사적간예，해원예방용약적선약、용약지정、급약시궤、사용제량여용법、술중추가정황、예방용약료정등각방면적합리솔도유소제고。결론해원실시적간예조시대규범I류절구예방용항균약물기료적겁적작용，취득료현저적효과。
Objective To investigate the intervention and control measures and effect of prophylactic use of antibacterials for the surgeries with type I incision underwent in our hospital. Methods 289 surgeries with type I incision underwent in our hospital from January 2011 to June 2011 were selected as the non-intervention group, and other surgeries with type I incision underwent from 2012 to the first half of 2014 were selected as the intervention group. And the normalization of prophylactic use of antibacterials for surgeries with type I incision was compared and analyzed between the groups. Results The total utilization ratio of prophylactic use of antibacterials in the non-intervention group was 99.3%, and that in intervention group 1, intervention group 2, intervention group 3 was 79.5%, 69.4%, 56.5%, respectively. The ratio of 1st generation prophylactic use of cephalosporins in non-intervention group was 22.6%, and that in intervention group1, intervention group 2, intervention group 3 was 43.1%, 55.4%, 65.8%, succes-sively. Through the intervention of clinical pharmacists, the rationality rate has been greatly improved in selection of the drugs for prophylactic use, indications of drug use, time of administration, dosage and administration, intraoperative additional medication and the course of preventive medication in our hospital. Conclusion The intervention measures implemented in our hospital play a positive role in standardizing the prophylactic use of antibacterials for type I incision, which have achieved significant results.
