中国医疗管理科学
中國醫療管理科學
중국의료관이과학
china medical administration sciences
2014年
3期
21-24
,共4页
张占杰%胡扬%马链%孙宏莉%阮桂仁%李桂萍%张国杰%韩丁%马小军%梅丹%徐英春%于晓初
張佔傑%鬍颺%馬鏈%孫宏莉%阮桂仁%李桂萍%張國傑%韓丁%馬小軍%梅丹%徐英春%于曉初
장점걸%호양%마련%손굉리%원계인%리계평%장국걸%한정%마소군%매단%서영춘%우효초
抗菌药物管理%合理用药%成效分析
抗菌藥物管理%閤理用藥%成效分析
항균약물관리%합리용약%성효분석
Management of antibacterial agents%reasonable application%effect analysis
目的：持续推进抗菌药物临床合理应用。方法回顾2011年6月～2014年4月抗菌药物临床应用月统计表主要指标数据，应用线性趋势卡方检验。结果近3年住院患者抗菌药物使用率、门诊患者抗菌药物处方比例和I类切口预防使用抗菌药物比例P<0.01,有统计学显著差异；急诊患者抗菌药物处方比例、I类切口手术患者预防使用抗菌药物时间≤24h的比例、接受特殊使用抗菌药物住院患者微生物检验标本送检率、抗菌药物使用强度P>0.05，无统计学差异。结论依托医院优良传统和文化积淀，其抗菌药物使用强度达标且3年无变化，抗菌药物临床应用合理；通过落实抗菌药物专项管理、强化员工知识培训等举措，I类切口手术患者预防使用抗菌药物比例显著下降且达标。
目的：持續推進抗菌藥物臨床閤理應用。方法迴顧2011年6月～2014年4月抗菌藥物臨床應用月統計錶主要指標數據，應用線性趨勢卡方檢驗。結果近3年住院患者抗菌藥物使用率、門診患者抗菌藥物處方比例和I類切口預防使用抗菌藥物比例P<0.01,有統計學顯著差異；急診患者抗菌藥物處方比例、I類切口手術患者預防使用抗菌藥物時間≤24h的比例、接受特殊使用抗菌藥物住院患者微生物檢驗標本送檢率、抗菌藥物使用彊度P>0.05，無統計學差異。結論依託醫院優良傳統和文化積澱，其抗菌藥物使用彊度達標且3年無變化，抗菌藥物臨床應用閤理；通過落實抗菌藥物專項管理、彊化員工知識培訓等舉措，I類切口手術患者預防使用抗菌藥物比例顯著下降且達標。
목적：지속추진항균약물림상합리응용。방법회고2011년6월～2014년4월항균약물림상응용월통계표주요지표수거，응용선성추세잡방검험。결과근3년주원환자항균약물사용솔、문진환자항균약물처방비례화I류절구예방사용항균약물비례P<0.01,유통계학현저차이；급진환자항균약물처방비례、I류절구수술환자예방사용항균약물시간≤24h적비례、접수특수사용항균약물주원환자미생물검험표본송검솔、항균약물사용강도P>0.05，무통계학차이。결론의탁의원우량전통화문화적정，기항균약물사용강도체표차3년무변화，항균약물림상응용합리；통과락실항균약물전항관리、강화원공지식배훈등거조，I류절구수술환자예방사용항균약물비례현저하강차체표。
Purpose To continuously promote the clinical reasonable application of antimicrobial agents.Method The main indicators in the monthly statistical table for the application of antibacterial agents from June 2011 to April 2014 were reviewed with chi-square test of linear trend.Results The utilization rate of antibacterial agents of hospitalized patients, the prescription proportion of antibacterial agents of outpatients and the utilization rate of antibacterial agents for the prevention of Class I Incision (P<0.01) in the last three years had statistically significant difference; the prescription proportion of antibacterial agents of emergency patients, the proportion of surgical patients with Class I Incision using antibacterial agents for prevention for equal to or less than 24h, the inspection rate of microbiological specimens from hospitalized patients using special antibacterial agents, and the use intensity of antibacterial agents (P>0.05) had no statistical difference.Conclusion Relying on the hospital’s good tradition and culture, the use intensity of antibacterial agents reached the standard and there was no change in 3 years. The clinical application of antibacterial agents was reasonable; by implementing the special management of antimicrobial agents, strengthening the staffs’ knowledge training and taking other measures, the proportion of surgical patient with Class I Incision using antibacterial agents for prevention significantly reduced and reached the standard..
