我院对小儿外科围术期抗菌药物应用监管的对比分析  

Comparative Analysis of the Supervision of Perioperative Application of Antibiotics in Pediatric Surgery Department of Our Hospital

作　　者：贺林[1] 邓毅[1] 彭毓芳[1] 

机构地区：[1]成都市儿童医院药剂科,成都市610017

出　　处：《中国药房》2011年第26期2425-2426,共2页China Pharmacy

摘　　要：目的:分析我院小儿外科围术期抗菌药物的应用情况,评估其合理性。方法:随机抽取我院2009年11月-2010年2月小儿外科出院病历140份,对抗菌药物的应用情况进行监管前、后的对比分析。结果:监管前抗菌药物品种选择合理比例为21.3%,监管后为76.7%(P<0.01);监管前给药时机合理的比例为4.3%,监管后为100.0%(P<0.01);监管前抗菌药物应用疗程不合理比例为100.0%,监管后为70.0%(P<0.01)。结论:通过对围术期抗菌药物应用监管,我院小儿外科抗菌药物应用合理性有了很大改进,但预防用药指征、联合用药、给药时机、给药疗程方面仍存在不合理情况,尚待改善。OBJECTIVE：To analyze the perioperative application of antibiotics in pediatric surgery department of our hospital, and to evaluate its reasonability. METHODS： A total of 140 discharged records of pediatric surgery department were randomly selected from our hospital during Nov. 2009-Feb. 2010. The utilization of antibiotics before and after monitoring was analyzed comparatively. RESULTS： 21.3% of type selection of antibiotics were rational before supervision while 76.7% were rational after supervision （P〈0.01）; only 4.3% of cases were on the reasonable administration time before supervision and 100.0% were reached after supervision （P〈0.01）; and 100.0% of the treatment course of antibiotics were irrational before supervision, and irrational treatment course accounted for 70.0% after supervision（P〈0.01）. CONCLUSION： Through strengthening the supervision of perioperative application of antibiotics in our hospital, the rationality of antibiotics use in pediatric department has been greatly improved. However, there are some problems should be improved in respects of prophylactic drug use indications, drug combination, medication time, medication duration.

关 键 词：围术期 抗菌药物 监督管理 合理用药 

分 类 号：R969.3[医药卫生—药理学] R287[医药卫生—药学]