摘要
目的:探讨药师对产科医生用药行为的干预,对于提高剖宫产围手术期抗菌药应用合理性的效果。方法:随机抽取我院2011年第2季度(干预前)、第4季度(干预中)和2012年第2季度(干预后)剖宫产病例各50份,比较各时间段围手术期应用抗菌药各项指标的变化,评估干预效果。结果:经过2阶段干预后,我院剖宫产围手术期抗菌药应用各项监测指标较干预前明显改善,合理使用率从干预前的10%提高到70%(P<0.01),抗菌药使用强度(AUD)也从干预前的97.51降至46.58。结论:药师采取综合干预管理模式可行,可有效提高剖宫产围手术期抗菌药合理应用率。
Objective：To explore the intervention effect of the pharmacists on the doctor prescriptions to enhance the rational antibiotics use in the perioperative period of cesarean section（c-section）.Method：Totally 50 medical records were randomly selected in the second quarter（before the intervention） and the fourth quarter（during the intervention） of 2011,and the second quarter（after the intervention） of 2012,respectively.The index changes in the antibiotics use were monitored to evaluate the effect of the intervention. Result：After the two-stage intervention,the key monitoring indices of antibiotics use in the perioperative period of c-section in our hospital were improved greatly.The validation rate was increased from 10%before the intervention to 70%after the second-stage intervention（P 0.01） with the antibiotics use density（AUD） decreasing from 97.51 to 46.58.Conclusion：Pharmacists can enhance the rational antibiotics use in the perioperative period of c-section by utilizing the pharmaceutical knowledge and carrying out the active and reasonable intervention in the prescriptions.
出处
《中国药师》
CAS
2013年第3期408-411,共4页
China Pharmacist
基金
成都市卫生局2009年青年基金科研课题(编号:0909)
关键词
剖宫产
围手术期
抗菌药
干预
Cesarean section
Perioperative period
Antibiotics
Intervention
