摘要
目的:分析本院眼科I类切口手术患者围手术期静脉应用抗菌药物情况,评价行政干预对合理使用抗菌药物的效果,为本院抗菌药物的规范化管理提供理论依据。方法:回顾性调查干预前1052例和干预后648例出院的I类切口手术病例的围手术期静脉抗菌药物使用情况,对干预前后的资料进行统计与分析。结果:围手术期静脉使用抗菌药物从干预前的90.5%下降到干预后的10%,干预前后比较差异有统计学意义(P<0.05);干预后切皮前30 min^2 h抗菌药使用率明显提高;干预后术后48 h、72 h、>72 h抗菌药使用率下降。手术时间>3 h术中干预前后抗菌药物均未使用和追加;干预前后一、二代头孢菌素使用率分别为0和10.8%。结论:通过各种行政干预,干预后围手术期抗菌素使用率明显下降。但仍存在一、二代头孢菌素使用率偏低、术中追加一剂抗菌药物不规范等问题。
Objective： To analyze the application situation of type I incision operation patients during operation period of intravenous antibiotics in our hospital, to assessment the administrative intervention on the rational use of antimicrobial drug effects, and provide a theoretical basis for the antibiotics in our hospital standardized management of drugs. Method： Before intervention after the intervention, 1052 and 648 cases of discharge type I incision operation during operation period of intravenous antibiotic usage were retrospectively investigated, the data before and after the intervention were analyzed. Result： Perioperative intravenous use of antimicrobial agents decreased from 90.5% before intervention to 10% after the intervention, the difference had statistical significance （ P〈0.05 ） . After the intervention, before skin incision 30 min-2 h antibiotic use rate increased significantly after intervention; postoperative 48 h, 72 h, 〉72 h antibiotic use rate. Operation time 〉3 h in patients before and after the intervention of antibiotics were not used and additional. Before and after the intervention, the second generation cephalosporins were 0 and 10.8% respectively. Conclusion： Through a variety of administrative intervention, intervention during operation period antibiotic use rate decreased. But there are still one or two generation cephalosporin use rate is low, a booster dose of antibiotics is non-standard wait for a problem during the operation.
出处
《中国医学创新》
CAS
2014年第8期124-127,共4页
Medical Innovation of China
关键词
眼科
I类切口
抗菌药物
干预
Eye
Type I incision
Antimicrobial agents
Intervention
