CAJ | 학술논문

目的：实施PDCA循环原理下抗菌药物系统干预方案，考察该方案实施对抗菌药物使用强度（AUD）的影响。方法2013年干预组实施PDCA循环原理下系统干预方案，对照组实施常规抗菌药物专项整治管理方案；2014年两组统一实施本项目方案，考察两组抗菌药物使用率、使用合理性、微生物送检率、围手术抗菌药物预防用药正确率及使用强度情况。结果2013年干预组与对照组在抗菌药物使用率、使用合理率、微生物送检率方面差异明显（P＜0.05）；干预组I类切口抗菌药物预防使用率明显低于对照组，24～48 h停药率明显高于对照组。2014年上半年两组均实施方案后，对照组各项指标较前明显提高。结论实施PDCA循环原理下抗菌药物系统干预方案，有效改善了医院抗菌药物的使用情况，降低了医院抗菌药物使用强度，促进了医院抗菌药物的合理使用。
목적：실시PDCA순배원리하항균약물계통간예방안，고찰해방안실시대항균약물사용강도（AUD）적영향。방법2013년간예조실시PDCA순배원리하계통간예방안，대조조실시상규항균약물전항정치관리방안；2014년량조통일실시본항목방안，고찰량조항균약물사용솔、사용합이성、미생물송검솔、위수술항균약물예방용약정학솔급사용강도정황。결과2013년간예조여대조조재항균약물사용솔、사용합리솔、미생물송검솔방면차이명현（P＜0.05）；간예조I류절구항균약물예방사용솔명현저우대조조，24～48 h정약솔명현고우대조조。2014년상반년량조균실시방안후，대조조각항지표교전명현제고。결론실시PDCA순배원리하항균약물계통간예방안，유효개선료의원항균약물적사용정황，강저료의원항균약물사용강도，촉진료의원항균약물적합리사용。
Objective The implementation of the system intervention of antimicrobial drug under the principle of PDCA circulation is a plan used to test the influence of the implementation on the AUD of antimicrobial drugs. Methods In 2013,the PDCA circulation principle were introduced into the intervention group antimicrobial drugs intervention. The control group only received a routine management plan for antimicrobial drugs. To set off a unified design for introducing the project in 2014. Compared the outcome rates of the two antimicrobial drug groups. Furthermore,the ration of the antimicrobial usage,the microbial inspection rate,the perioperative antimicrobial prophylaxis,and accuracy,all in all the effect of the antibacterial drugs were observed. Results In 2013,we checked the results of the intervention group’s as well as the control group’s antimicrobial usage. We noticed that the differences of the microorganism inspection rate,the ration of the antimicrobial usage,were significant(P<0.05). When using type I incision antibacterial drug prevention, the usage rate of intervention group was clearly lower than that of the control group,within 24-48 h of stopping the usage the ratio is significantly higher than the that of the control group. In the first half of 2014 looking at the implemented scheme of the two groups,each index of the control group is noticeably enhanced, especially compared with the results of 2013. Conclusion By implementing a system intervention scheme under the PDCA circulation,we can effectively reduce the intensity of hospital antimicrobial drug use.