专项整治后荆门市16家不同级别医院甲状腺手术患者预防用抗菌药物分析  

Analysis of Prophylactic Application of Antibacterial in Thyroid Operation after the Special Rectification among 16 Hospitals of Different Levels in Jingmen Area

作　　者：胡耀梅[1] 谢峥 邵寅[1] 张丹丹[1] 李扬华[1] 严丽华[1] 

机构地区：[1]荆门市第一人民医院药学部,湖北荆门448000 [2]荆门市第二人民医院药学部,湖北荆门448000

出　　处：《中国药房》2013年第22期2041-2043,共3页China Pharmacy

摘　　要：目的:了解专项整治后荆门市不同级别医院甲状腺手术预防用抗菌药物现状,为全面推进抗菌药物专项整治提供参考。方法:采用回顾性方法,抽取荆门市16家不同级别医院甲状腺病历1075份,对围术期抗菌药物应用率、抗菌药物选择、给药时机合理率、平均用药疗程、联合用药、更换药物等指标进行统计、分析。结果:专项整治后,该市三级、二级、一级医院抗菌药物应用率分别为56.34%、80.71%、100%,给药时机合理率分别为92.72%、40.07%、11.39%,平均用药疗程分别为1.60、4.23、5.91d,联合用药比例分别为0、15.81%、23.76%,更换用药不合理比例分别为0、8.09%、15.84%。结论:专项整治后,该市三级医院抗菌药物应用合理性高于二级、一级医院,但均存在不合理用药问题。各级医院均应继续深入开展专项整治活动,促进抗菌药物的合理应用,二级、一级医院更应注重对抗菌药物合理应用的监管,落实专项整治各项工作。OBJECTIVE： To investigate the status quo about prophylactic application of antibacterial in thyroid surgery among hospitals of different levels in Jingmen area after the special rectification, and to provide reference for the complete implementation of antibacterial special rectification. METHODS： By retrospectively study, 1 075 medical records of thyroid gland in 16 hospitals of Jingmen area were collected. The utilization of antibiotics was analyzed statistically in respect of the usage rate of antibiotics, drug selection, reasonable rate of medication timing, average treatment course, drug combination and drug replacement. RE- SULTS： After special rectification, the usage rates of antibiotics were 56.34%, 80.71% and 100%, respectively; the reasonable rates of medication timing were 92.72%, 40.07% and 11.39%, respectively; the average treatment course were 1.60 d,4.23 d and 5.91 d, respectively; the proportion of drug combination were 0, 15.81% and 23.76%, respectively; the unreasonable rate of drug replacement were 0, 8.09% and 15.84%, respectively in third-level hospital, second-level hospital and first-level hospital.CON- CLUSIONS： After special rectification, rationality of antibiotics use in third-level hospital is higher than in second-level hospital and first-level hospital, but irrational use still exits. All hospitals should continue to advance the special rectification and promote ra- tional use of drug. Especially, second-level hospital and first-level hospital should strengthen supervision of rational use of antibiot- ics and carry out various works of the special rectification.

关 键 词：专项整治 荆门市 甲状腺手术 抗菌药物 调查分析 

分 类 号：R969.3[医药卫生—药理学] R287[医药卫生—药学]