摘要
目的:了解抗菌药物专项整治活动对佛山市南海区罗村医院(以下简称"我院")Ⅰ类切口手术围术期预防性应用抗菌药物的影响,为基层医院规范Ⅰ类切口手术围术期预防性应用抗菌药物提供参考。方法:采用回顾性调查分析方法,对我院2011年5月—2015年12月2 780例Ⅰ类切口手术围术期预防性应用抗菌药物的情况进行统计分析,按抗菌药物专项整治活动年份进行划分,分别为2011年5—12月259例、2012年485例、2013年645例、2014年717例、2015年674例。结果:抗菌药物专项整治后,我院Ⅰ类切口手术围术期预防性应用抗菌药物的合理性明显提高,抗菌药物预防性使用率由2011年5—12月(整治初期)的90.32%降至2015年的27.61%;术前30 min^2 h预防性给药率基本控制在80%以上;平均预防性用药疗程基本控制在2 d;第1、2代头孢菌素使用率>95%。但仍存在个别不规范用药的情况。结论:应进一步加强对围术期合理预防性应用抗菌药物的宣传和培训,充分发挥临床药师的监控作用,建立长效机制,以巩固抗菌药物专项整治取得的成果。
OBJECTIVE：To investigate the effects of special rectification of antibiotics on application of preventive application of antibiotics in type I incision in Foshan Nanhai District Luocun Hospital （ hereinafter referred to as ＂our hospital＂ ）, so as to provide reference for the preventive application of antibiotics in type I incision during perioperative period in primary hospital. METHODS： Retrospective investigation analysis was adopted, and statistical analysis was conducted on 2 780 cases with preventive application of antibiotics in type I incision during perioperative period from May 2011 to Dec. 2015. According to the year of special rectification, patients were divided into 259 cases （in May to Dec. 2011）, 485 cases （in 2012）, 465 cases （in 2013）, 717 cases （in 2014） and 674 cases （in 2015）. RESULTS： After special rectification, the rationality rate of preventive application of antibiotics in type I incision during perioperative period increased significantly, and the application rate of antibiotics decreased from 90. 32% in May to Dec. 2011 （preliminary stage of special rectification） to 27.61% in 2015. The preventive administration rate before operation of 30 rain-2 h was basically over g0%. The average preventive treatment course was 2 d. The application rate of the first and the second generation eephalosporins was over 95% , yet there were still some irrational phenomenon of drug application. CONCLUSIONS： It is necessary to further strengthen the propaganda and training of preventive application of antibiotics in type I incision during perioperative period, fully play the monitoring role of clinical pharmacists, establish long-term mechanism so as to consolidate the achievements of special rectification.
作者
江丽欢
周佩仪
黄少兼
JIANG Lihuan;ZHOU Peiyi;HUANG Shaojian(Dept.of Pharmacy,Foshan Nanhai District Luocun Hospital,Guangdong Foshan 528227,China)
出处
《中国医院用药评价与分析》
2017年第3期410-412,415,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
基层医院
Ⅰ类切口
抗菌药物
专项整治
Primary hospital
Type I incision
Antibiotics
Special rectification
