干预前后甲状腺和乳腺手术围手术期抗菌药预防性应用调查  

Analysis of the Prophylactic Use of Antibioctics for the Thyroid and Mammary Patients During the Perioperative Period Before and After Administrative Intervention

作　　者：安小通[1] 贾暖[2] 孙成春[2] 张欣悦[1] 毕玲玲[1] 

机构地区：[1]辽宁医学院,辽宁锦州1210012 [2]济南军区总医院药剂科

出　　处：《药物流行病学杂志》2013年第10期553-556,共4页Chinese Journal of Pharmacoepidemiology

摘　　要：目的：考察对围手术期预防性应用抗菌药实施干预措施的效果，为临床药师开展药学服务提供参考。方法：采用回顾性调查方法，对我院2011～ 2012年甲状腺和乳腺手术出院病例进行统计分析。结果：干预后抗菌药的使用率从100%下降至29.83%，药物选择合理率由29.04%升至98.36%；给药时机合理率由88.94%升至98.69%，24 h内停药者达到59.34%。结论：对围手术期预防性应用抗菌药实施综合干预，为临床药师进一步开展临床药学服务推进合理使用抗菌药起了积极的作用。Objective：To evaluate the result of the perioperative use of prophylactic antibacterials in implementing intervention so as to provide reference for clinical pharmacists. Methods：In this retrospective review, a statistical analysis was performed on the medical records extracted from the hospital in 2011 2012. Results： The utilization ratio of antimicrobial drugs decreased from 100% to 29.83% after the intervention, the rate of rational choice of antibacterials peaked to 98.36% from 29.04%, the rate of rational initial administration time rose from 88.94% to 98.69%,and the rate of antibiotic withdrawal within 24 hours peaked to 59.34%. Conclusion：The integrated intervention in prophylactic use of antibiotics during the perioperative period played an active role in the rational use of antibacterials for the clinical pharmacists promoting their pharmaceutical care.

关 键 词：抗菌药 干预 围手术期 甲状腺 乳腺 合理用药 

分 类 号：R978.1[医药卫生—药品]