中国处方药
中國處方藥
중국처방약
Journal Of China Prescription Drug
2015年
10期
8-9
,共2页
Ⅰ类切口手术%围手术期%抗菌药物%干预
Ⅰ類切口手術%圍手術期%抗菌藥物%榦預
Ⅰ류절구수술%위수술기%항균약물%간예
Type Ⅰ incision%Preoperative%Antibiotics%Interventio
目的 分析Ⅰ类切口围手术期预防性应用抗菌药物干预前后的对比情况,了解干预管理的效果.方法 收集某三级医院实施"关于抗菌药物临床应用管理有关问题的通知"前后Ⅰ类切口手术病例,实施干预前:2013年6月~12月共210例与实施干预后2014年6月~12月共240例的抗菌药物使用率、给药时机、用药疗程及用药后效果等相关情况进行对比分析.结果 Ⅰ类切口手术抗菌药物的预防使用率从干预前的96.2%降至干预后的13.3%;平均用药疗程从干预前的5.6 d降至干预后的2.1 d;术前30 min~2 h预防使用率从干预前的30.2%提高到干预后的100%;第3代头孢菌素的使用比例由干预前的71.8%降至干预后的13.0%;第1代头孢菌素的使用比例由干预前的8.9%提高至干预后的71.9%.结论 实施干预后,Ⅰ类切口手术预防性应用抗菌药物情况逐渐趋于合理,抗菌药物不合理应用现象明显改善,但仍存在手术应用抗菌药物疗程较长的问题,需进一步监管.
目的 分析Ⅰ類切口圍手術期預防性應用抗菌藥物榦預前後的對比情況,瞭解榦預管理的效果.方法 收集某三級醫院實施"關于抗菌藥物臨床應用管理有關問題的通知"前後Ⅰ類切口手術病例,實施榦預前:2013年6月~12月共210例與實施榦預後2014年6月~12月共240例的抗菌藥物使用率、給藥時機、用藥療程及用藥後效果等相關情況進行對比分析.結果 Ⅰ類切口手術抗菌藥物的預防使用率從榦預前的96.2%降至榦預後的13.3%;平均用藥療程從榦預前的5.6 d降至榦預後的2.1 d;術前30 min~2 h預防使用率從榦預前的30.2%提高到榦預後的100%;第3代頭孢菌素的使用比例由榦預前的71.8%降至榦預後的13.0%;第1代頭孢菌素的使用比例由榦預前的8.9%提高至榦預後的71.9%.結論 實施榦預後,Ⅰ類切口手術預防性應用抗菌藥物情況逐漸趨于閤理,抗菌藥物不閤理應用現象明顯改善,但仍存在手術應用抗菌藥物療程較長的問題,需進一步鑑管.
목적 분석Ⅰ류절구위수술기예방성응용항균약물간예전후적대비정황,료해간예관리적효과.방법 수집모삼급의원실시"관우항균약물림상응용관리유관문제적통지"전후Ⅰ류절구수술병례,실시간예전:2013년6월~12월공210례여실시간예후2014년6월~12월공240례적항균약물사용솔、급약시궤、용약료정급용약후효과등상관정황진행대비분석.결과 Ⅰ류절구수술항균약물적예방사용솔종간예전적96.2%강지간예후적13.3%;평균용약료정종간예전적5.6 d강지간예후적2.1 d;술전30 min~2 h예방사용솔종간예전적30.2%제고도간예후적100%;제3대두포균소적사용비례유간예전적71.8%강지간예후적13.0%;제1대두포균소적사용비례유간예전적8.9%제고지간예후적71.9%.결론 실시간예후,Ⅰ류절구수술예방성응용항균약물정황축점추우합리,항균약물불합리응용현상명현개선,단잉존재수술응용항균약물료정교장적문제,수진일보감관.
Objective To analyse the contrast before and after the intervention of class I incision operations during perioperative period of prophylactic use of antibiotics and to evaluate the effect of the intervention measures and perioperative antibiotic drug management.Methods There are 210 cases from june to december in 2013 and 240 cases in 2014. By searching the relevant medical records, preoperative use of prophylactic antibiotics in type I incision operations were compared and analyzed for their use, drug choose, administration timing and drug duration.Results The rate of utilizing antibiotics dropped from 96.2% in 2013 to13.3% in 2014, with statistical significance(P<0.05). The average antibacteria l drug use was decreased from5.1 days to 2.1 days. The percentage of antibiotics for prevention lasting 30 minute~2 hour ranged from 30.2% to 100%. The rate of utilizing third-generation cephalosporins dropped from 71.8% to 13.0%, The rate of utilizing first-generation cephalosporins was decreased from 8.9% to 71.9%.Conclusion After Intervention, preventive application of antibiotics in type I incision operations of the hospital is becoming more and more reasonable. However, there are still some problems such as long time in using drugs. So, intervention and regulation need to be further strengthened.
