中国药业
中國藥業
중국약업
China Pharmaceuticals
2015年
17期
61-62,63
,共3页
曾海萍%黄健%李珂佳%崔岚%邵艳
曾海萍%黃健%李珂佳%崔嵐%邵豔
증해평%황건%리가가%최람%소염
专项整治%Ⅰ类切口%预防用药%抗菌药物
專項整治%Ⅰ類切口%預防用藥%抗菌藥物
전항정치%Ⅰ류절구%예방용약%항균약물
sPecial rectification%tyPeⅠincision%ProPhylactic drug use%antibiotics
目的：探讨抗菌药物专项整治前后，某三级甲等医院Ⅰ类切口手术围术期预防用药情况，为进一步加强管理提供依据。方法全样本抽取医院2011年和2013年第1季度甲状腺、乳腺及腹股沟疝3种Ⅰ类切口手术患者病历，对围术期预防用药情况进行分析。结果专项整治后，该院抗菌药物预防使用率由100.00％降至8.92％，药品选择合理率由0.61％升至21.43％，用药时机合理率由23.17％升至64.29％，使用疗程合理率由2.43％升至64.29％，联合用药合理率由40.85％升至100.00％，抗菌药物平均费用由（1134.82±840.77）元降至（25.17±106.49）元。结论通过开展抗菌药物专项整治活动，对该院抗菌药物的合理应用具有显著促进作用，但距国家卫计委的要求仍有较大差距，需进一步加强Ⅰ类切口手术围术期预防使用抗菌药物的管理。
目的：探討抗菌藥物專項整治前後，某三級甲等醫院Ⅰ類切口手術圍術期預防用藥情況，為進一步加彊管理提供依據。方法全樣本抽取醫院2011年和2013年第1季度甲狀腺、乳腺及腹股溝疝3種Ⅰ類切口手術患者病歷，對圍術期預防用藥情況進行分析。結果專項整治後，該院抗菌藥物預防使用率由100.00％降至8.92％，藥品選擇閤理率由0.61％升至21.43％，用藥時機閤理率由23.17％升至64.29％，使用療程閤理率由2.43％升至64.29％，聯閤用藥閤理率由40.85％升至100.00％，抗菌藥物平均費用由（1134.82±840.77）元降至（25.17±106.49）元。結論通過開展抗菌藥物專項整治活動，對該院抗菌藥物的閤理應用具有顯著促進作用，但距國傢衛計委的要求仍有較大差距，需進一步加彊Ⅰ類切口手術圍術期預防使用抗菌藥物的管理。
목적：탐토항균약물전항정치전후，모삼급갑등의원Ⅰ류절구수술위술기예방용약정황，위진일보가강관리제공의거。방법전양본추취의원2011년화2013년제1계도갑상선、유선급복고구산3충Ⅰ류절구수술환자병력，대위술기예방용약정황진행분석。결과전항정치후，해원항균약물예방사용솔유100.00％강지8.92％，약품선택합리솔유0.61％승지21.43％，용약시궤합리솔유23.17％승지64.29％，사용료정합리솔유2.43％승지64.29％，연합용약합리솔유40.85％승지100.00％，항균약물평균비용유（1134.82±840.77）원강지（25.17±106.49）원。결론통과개전항균약물전항정치활동，대해원항균약물적합리응용구유현저촉진작용，단거국가위계위적요구잉유교대차거，수진일보가강Ⅰ류절구수술위술기예방사용항균약물적관리。
Objective To investigate the PerioPerative ProPhylactic aPPlication of antibiotics to tyPeⅠincision in a hosPital before and after sPecific rectification. Methods PerioPerative ProPhylactic aPPlication of antibiotics to all inPatients that received thyroid surgeries, breast surgeries or inguinal hernia surgeries in the first quarter of 2011 and 2013 was analyzed. Results After sPecific rectification,the ProPhylactic rate decreased from 100. 00% to 8. 92%;the rate of rational medication increased from 0. 61% to 21. 43%;the rate of rational administration time increased from 23. 17% to 64. 29% ;the rate of rational treatment course increased from 2. 43% to 64. 29%;the rate of rational drug combination increased from 40. 85% to 100. 00%;the average cost of antibiotics declined from (1 134. 82 ± 840. 77) yuan to (25. 17 ± 106. 49) yuan. Conclustion SPecific rectification activities have Played a significant role in Promoting the rational use of antibiotics in the hosPital,but such situation hasn't met the requirements of National Health and Family Planning Commission of the PeoPle's RePublic of China,so it is essencial to further strengthen the management of PerioPerative ProPhy-lactic use of antimicrobial.
