摘要
目的：评价管理干预措施对某院骨科围手术期患者抗菌药物使用的影响效果.方法：以干预前后骨科手术出院患者病例为对象,设计手术预防用药调查统计表,依据抗菌药物临床应用评价指标,进行对比分析.结果：干预后,抗菌药物使用强度下降30DDD,下降50.10%;人均抗菌药物使用费用下降48.70%（P〈0.01）;抗菌药品占住院药品比率下降19.32%（P〈0.01）;人均住院药品费用下降18.30%（P〈0.05）;术前0.5～2h首次用药时机符合率上升19.21%（P〈0.01）,但I类切口抗菌药物使用率及预防用药的药物选择有待改进.结论：开展抗菌药物管理干预可以有效提高预防使用抗菌药物的合理性.
Objective： To evaluate the management intervention on effects of antimicrobial agents rationality among orthopaedic perioperative patients at some hospital in China. Methods： Evaluation on antimicrobial agents rationality was made according to comparison with antimicrobial agents use of orthopedic surgery inpatients be- tween before（2010） and after（2011） of intervention at same period by questionnaire of useing prophylactic antimi- crobial agents. Results： After intervention, the intensity of using antimicrobial agents decreased 30DDD（50.10%）, average costs of the inpatients＇antimicrobial agents decreased 48.70%（P〈0.01）; and ratio of antibacterial agents accounting for all inpatients agents declined 19.32% （P〈0.01）;and costs of inpatients＇agents reduced 18.30% （P 〈0.05）on average; and coincidence rate of 0.5-2h＇first medication time rose 19.21% （P〈0.01）. but the selection of prophylactic antimicrobial agents and covering ratio of using antimicrobial agents for I kind of surgery incision need to better. Conclusion： Management interventions of antimicrobial agents can effectively improve the rationality of using prophylactic antimicrobial agents.
出处
《安徽卫生职业技术学院学报》
2012年第3期86-87,77,共3页
Journal of Anhui Health Vocational & Technical College
关键词
骨科围手术期
抗菌药物
管理干预
orthopedics perioperative period
antibacterial agents
management intervention
