摘要
目的探讨持续干预措施对腹股沟疝Ⅰ类切口手术围术期抗菌药物预防应用情况的影响。方法抽取腹股沟疝Ⅰ类切口手术出院患者病例1 099例,进行汇总分析,评价围术期抗菌药物预防应用合理性。结果干预后,我院抗菌药物使用率明显低于干预前,品种选择的合理率、首次给药时机及用药疗程合理率均高于干预前,无指征联合用药及更换抗菌药物问题基本消除。结论实施持续干预措施后,我院腹股沟疝Ⅰ类切口手术围术期抗菌药物的不合理用药现象明显改善。针对工作中仍然存在的突出问题,应进一步采取干预措施,促进临床合理用药。
Objective To investigate the influence of continuous interventions on use of antibiotics during perioperative period of typeⅠincision surgery in inguinal hernia. Methods Retrospective analysis was performed to investigate the perioperative prophylactic application of antibiotics in 1099 discharged patients underwent typeⅠincision surgery in inguinal hernia.The rationality of prophylactic use of antibiotics during perioperative period was observed and evaluated. Results After intervention,the antibiotics use rate were lower than that of before intervention group.The rational ratio of drug selection,the rate of reasonable medication timing and the medication course were higher than that of before intervention group.Non-indication application of antibiotics combination and replacement was eliminated. Conclusion After the implementation of continuous intervention,the irrational use of antibiotics during perioperative period of typeⅠincision surgery in inguinal hernia in our hospital has improved significantly.We should further adopt intervention measures to promote the clinical rational medication to solve the existing problems.
作者
缪阳
张婷
成美
尹存林
王阿明
MIAO Yang;ZHANG Ting;CHENG Mei;YIN Cunlin;WANG Aming(Department of Pharmacy,Yancheng First People′s Hospital,Yancheng 224001,China)
出处
《西北药学杂志》
CAS
2018年第5期687-690,共4页
Northwest Pharmaceutical Journal
关键词
抗菌药物
腹股沟疝
Ⅰ类切口
持续干预
antibiotics；inguinal hernia；type Ⅰ incision surgery；continuous interventions
