中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
3期
81-83
,共3页
抗菌药物%Ⅰ类切口%预防应用%合理用药
抗菌藥物%Ⅰ類切口%預防應用%閤理用藥
항균약물%Ⅰ류절구%예방응용%합리용약
Antibacterial%I type incision%Prophylactic antibacterials%Rational medicine use
目的：考察2013年某院Ⅰ类切口手术抗菌药物预防应用情况，为临床合理使用抗菌药物提供参考。方法：按“卫生部办公厅关于抗菌药物临床应用管理有关问题的通知”及相关文件的要求，对该院2013年1-12月585例Ⅰ类切口手术预防应用抗菌药物的合理性进行统计分析。结果：585例手术中，预防用抗菌药物92例，预防用药率为15.73%，其中108例白内障手术患者预防用抗菌药物者为54例，所占比例达50%。预防用抗菌药物时机及品种选择也存在明显问题：预防用药患者中术前未用药而术后才用者占82.61%，预防用药物品种选择不合理占比也很高，其中选用大环内酯类罗红霉素分散片作为预防用药者高达76.09%。结论：该院Ⅰ类切口抗菌药物预防用药主要存在部分I类切口手术预防用药指针过宽、药物品种选择和用药时机不合理等问题。医院应进一步加强监管，加大医护人员合理使用抗菌药物的培训力度，以充分发挥抗菌药的抗菌特性而减少其耐药菌的出现。
目的：攷察2013年某院Ⅰ類切口手術抗菌藥物預防應用情況，為臨床閤理使用抗菌藥物提供參攷。方法：按“衛生部辦公廳關于抗菌藥物臨床應用管理有關問題的通知”及相關文件的要求，對該院2013年1-12月585例Ⅰ類切口手術預防應用抗菌藥物的閤理性進行統計分析。結果：585例手術中，預防用抗菌藥物92例，預防用藥率為15.73%，其中108例白內障手術患者預防用抗菌藥物者為54例，所佔比例達50%。預防用抗菌藥物時機及品種選擇也存在明顯問題：預防用藥患者中術前未用藥而術後纔用者佔82.61%，預防用藥物品種選擇不閤理佔比也很高，其中選用大環內酯類囉紅黴素分散片作為預防用藥者高達76.09%。結論：該院Ⅰ類切口抗菌藥物預防用藥主要存在部分I類切口手術預防用藥指針過寬、藥物品種選擇和用藥時機不閤理等問題。醫院應進一步加彊鑑管，加大醫護人員閤理使用抗菌藥物的培訓力度，以充分髮揮抗菌藥的抗菌特性而減少其耐藥菌的齣現。
목적：고찰2013년모원Ⅰ류절구수술항균약물예방응용정황，위림상합리사용항균약물제공삼고。방법：안“위생부판공청관우항균약물림상응용관리유관문제적통지”급상관문건적요구，대해원2013년1-12월585례Ⅰ류절구수술예방응용항균약물적합이성진행통계분석。결과：585례수술중，예방용항균약물92례，예방용약솔위15.73%，기중108례백내장수술환자예방용항균약물자위54례，소점비례체50%。예방용항균약물시궤급품충선택야존재명현문제：예방용약환자중술전미용약이술후재용자점82.61%，예방용약물품충선택불합리점비야흔고，기중선용대배내지류라홍매소분산편작위예방용약자고체76.09%。결론：해원Ⅰ류절구항균약물예방용약주요존재부분I류절구수술예방용약지침과관、약물품충선택화용약시궤불합리등문제。의원응진일보가강감관，가대의호인원합리사용항균약물적배훈력도，이충분발휘항균약적항균특성이감소기내약균적출현。
Objective: To investigate and analyze the conditions of prophylactic antibacterials used in patients undergoing type I incision operation in 2013 of a hospital, and to provide reference for rational antibacterials use in clinical.Method: According to the claim of “the notice on the relevant problems about clinical application and management of antibacterial” by the ministry of health, the rationality of prophylactic antibacterials used in 585 patients undergoing type I incision operation in 2013 of the hospital were statistical analyzed.Result: In 585 patients undergoing type I incision operation, there were 92 cases used prophylactic antibacterial, accounted for 15.73%, in which 108 cases of cataract surgery 54 cases had used prophylactic antibacterial, accounted for 50%. In using time of prophylactic antibacterial usage, the ratio of the patients who unused antibacterial before operation but used them after operation were high to 82.61%. The ratio of the irrational medicine selection were high too, in which roxithromycin dispersible tablets used as prophylactic antibacterial were high to 76.09%.Conclusion: The main problems of a hospital I type incision antibacterial prophylaxis use are that part of type I incision surgery prophylaxis pointer are too wide, medicine selection and administration time unreasonable.The hospital should further strengthen supervision, and improve the staffs training for rational antibacterial use, in order to make full use of antibacterial properties and reduce the appearance of the drug resistant bacteria.
