摘要
目的:分析干预前后Ⅰ类切口手术围手术期预防性使用抗菌药物的对比情况,了解围手术期抗菌药物管理和干预措施的效果。方法:采用回顾性调查方法对2011年1月—3月间173例Ⅰ类切口手术患者病例与2012年1月—3月间203例Ⅰ类切口手术病例,在抗菌药物的使用方面进行了对比分析。结果:Ⅰ类切口围手术期患者抗菌药物的使用率从2011年100%下降至2012年27%,差异有统计学意义(P<0.05);在给药时机、用药疗程等方面的合理性均有显著提高,但在药物选择方面还存在一定问题。结论:干预措施对减少抗菌药物应用的不合理因素有了明显改善,用药的合理性还有一定的提高空间,还需进一步加强干预和监管。
Objective： To analyse the contrast before and after the intervention of class I incision operations during perioperativc period of prophylactic use of antibiotics and to evaluate the effect of the intervention measures and perioperative antibiotic drug management. Methods： Retrospective study of the class I incision surgery 173 cases from l to 3 in 2011 and 203 cases from 1 to 3 in 2012 investigation of the use of antibiotics and comparative statistical results. Results： The rate of utilizing antibiotics dropped from 100% in 2011 to 27% in 2012, with statistical significance（P〈 0.05）.At the time of administration, drug treatment and other aspects reasonableness had of significant improvement, but at the drug of choice there were still some issues. Conclusion： The effect of intervention measures of antibiotics application to reduce the unreasonable factors effect obvious, but the rational use of drugs still need to be improved and intervention and regulation need to be further strengthened.
出处
《抗感染药学》
2013年第2期121-124,共4页
Anti-infection Pharmacy
关键词
I类切口手术
抗菌药
干预研究
class I surgical incision operations
perioperative period
antibiotics
analysis
