抗菌药物专项整治前后清洁手术预防用药分析  

Analysis of prophylactic application in sterile operation before and after special rectification activities of antibiotics

作　　者：曹喜红[1] 罗军[1] 

机构地区：[1]四川省科学城医院药剂科,四川绵阳621900

出　　处：《现代医学》2013年第5期336-339,共4页Modern Medical Journal

摘　　要：目的:了解我院抗菌药物专项整治前后抗菌药物的预防使用情况。方法:分别抽取我院2011年1～5月和2012年1～5月清洁手术病例各240份,对抗菌药物预防使用情况进行对比分析。结果:专项整治后,平均抗菌药物总费用下降26%;抗菌药物预防使用率从95.4%下降到55.4%;术前0.5～2 h使用抗菌药物构成比从7.9%升高到91.0%;24 h内预防用药从0上升到31.6%;抗菌药物使用种类从喹诺酮类为主转为一代头孢菌素为主。结论:抗菌药物专项整治活动明显促进了我院清洁手术抗菌药物的合理使用,但仍需要加强干预管理。Objective： To investigate the antibacterial application situation in sterile operation before and after special rectification activities of antibiotics clinic use. Methods： Two hundred and forty surgical records were randomly selected each from January to May in 2011 and 2012. The rationality of prophylactic application of antibacterials in sterile operation was compared between the two groups. Results： Compared before and after special rectification activities of antibiotics clinic use, The average antibacterial expenses decreased by 26%. The percentage of antibacterial prophyl acticuse decreased from 95.4% to 55.4%. Using antibacterials in 0.5-2 h before operation went up from 7.9% to 91.0%. Prevention of medication time within 24 hours went up from 0 to 31.6%. The antibacterial categories ranged from quinolones antibacterial drug use mainly to the generation of eephalosporins mainly. Conclusion： The special rectification activities of antibiotics are feasible and valid to promote rational use of antibacterials in sterile operation, but it is still necessary to strengthen the intervention management.

关 键 词：抗菌药物 专项整治 清洁手术 

分 类 号：R978.1[医药卫生—药品] R197.323.4[医药卫生—药学]