摘要
目的 探讨临床药师干预Ⅰ类切口围手术期预防使用抗菌药物的具体方式及其效果.方法 2016年4月至10月临床药师对200例Ⅰ类切口手术患者预防使用抗菌药物进行干预,与2014年4月至10月(干预前)随机抽取病历200份比较,对抗菌药物合理用药情况分析.结果 经过临床药师的干预后,Ⅰ类切口围手术期预防使用抗菌药物用药指征规范,品种选择趋于合理,用药时机、疗程改善,未出现联合用药现象,预防使用率由干预前94%降为干预后28.5%,缩短术后预防用药时间,并未增加术后感染例数.结论 通过临床药师对Ⅰ类切口围手术期预防用抗菌药物的培训及行政干预,提高用药合理性,有效降低抗菌药物的使用,达到卫计委预防使用抗菌药物比例不>30%的规定.
Objective To explore the specific ways and effects of clinical pharmacists intervention in preventing the use of antibiotics during the perioperative period of type I incision surgery. Methods From April to October 2016,clinical pharmacists intervened in the prevention of the use of antibiotics in 200 patients undergoing type I incision surgery. The rational use of antibiotics was analyzed by comparing 200 medical records randomly selected from April to October 2014 (before intervention). Results After the intervention of clinical pharmacists,the indications for preventing the use of antibiotics during the perioperative period of type I incision were standardized,the selection of varieties tended to be reasonable,the timing and course of treatment were improved,and there was no phenomenon of combined use of antibiotics,and the prevention rate decreased from 94 % before intervention to 28.5 % after intervention. After shortening the preventive medication time,the number of postoperative infections did not increase. Conclusion Through the training and administrative intervention of clinical pharmacists on the prophylactic use of antibiotics during the perioperative period of type I incision,the rationality of drug use can be improved and the utilization rate of antibiotics can be effectively reduced,reaching the requirement that the ratio of prophylactic use of antibiotics by the Health Planning Commission is not more than 30%.
出处
《浙江临床医学》
2019年第1期114-115,117,共3页
Zhejiang Clinical Medical Journal
关键词
临床药师
Ⅰ类切口
围手术期
抗菌药物
Clinical pharmacist
Type I incision surgery
Perioperative period
Antibacterial drug
