Ⅰ类切口3种围手术期预防使用抗菌药物干预分析  

Analysis of the intervention in 3 antibacterials used for perioperative prevention of typeⅠincision

作　　者：田静[1,2] 钱彦华[1,2] 方甜甜[1,2] 鲁常仙 

机构地区：[1]昆明市第一人民医院药学部 [2]昆明医科大学附属甘美医院,650011 [3]昆明医科大学药学院

出　　处：《临床合理用药杂志》2013年第32期20-22,共3页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的 评价医院对乳腺手术、疝修补术、甲状腺手术3种Ⅰ类切口手术围术期预防用抗菌药物干预的效果.方法 采用回顾性方法,了解医院干预前2011年8～10月和干预后2012年1～3月Ⅰ类切口围手术期预防用抗菌药物的使用情况.结果 实施干预后,3种Ⅰ类切口手术平均抗生素使用率明显下降,术前0.5～2h 预防用抗菌药物的比例有所提高,术后用抗菌药物时间〈24h的比例明显上升;平均住院天数、平均抗菌药物费用和平均住院总费用均有所下降.结论 实施干预可显著提高围术期抗菌药物合理应用比例,提升医院合理用药水平.Objective To evaluate the effect of the intervention in antibacterial used for 3kinds of type I incision op- elation perioperative prevention （ including breast surgery, inguinal hernia surgery and thryoid surgery）. Methods By retro- spective method, the utilization of antibacterials for patients underwent type I incision operation in our hospital during Aug. - Oct. in 2011 and during Jan. -Mar. in 2012 was analyzed in respect of the type of antibacterials,the time selection of adminis- tration, the period of drug usage and the costs of antibacterials. Results After the intervention, the average usage rate of anti- biotic in 3 kinds of type I incision operation has decreased,the proportion of phylactic application of antibacterials ahead 0.5 -2 hours of the operation increased, the proportion of antibacterials after operation within 24h apparently increased,The aver- age time of hospitalization,the average cost of antibacterials,the average cost of total cost all decreased. Conclusion The in- tervention can obviously increase the proportion of rational antibacterials usage during perioperative period and promote the lev- el of rational use of drugs in the hospital.

关 键 词：Ⅰ类切口手术 围术期 抗菌药物 干预 合理用药 

分 类 号：R619[医药卫生—外科学]