Ⅰ类切口围手术期预防用抗菌药物干预的对比研究  

Comparativelistudy on preventive antibiotic impheation in typeⅠsurgical site perioperative

作　　者：蔡秀丽[1] 王灿阳[1] 汤利[2] 许文叹 黄跃兴[1] 郭雪鸿[1] 

机构地区：[1]晋江市医院院感科,福建晋江362200 [2]泉州市第一医院护理部,福建泉州362000

出　　处：《中华医院感染学杂志》2014年第5期1121-1123,共3页Chinese Journal of Nosocomiology

基　　金：泉州市卫生局科研基金资助项目(2011-575)

摘　　要：目的探讨甲状腺手术、内固定拆除术和乳腺手术等3种Ⅰ类切口围手术期预防使用抗菌药物的合理性,以期提高临床上合理使用抗菌药物水平。方法回顾性分析2011年1月-2013年1月的甲状腺手术、内固定拆除术和乳腺手术等3种Ⅰ类切口手术的117例患者,其中2011年1-12月为对照组,2012年1月-2013年1月采用监测-培训-计划(MTP)模式进行干预,观察干预前后抗菌药物使用合理性。结果干预后抗菌药物使用率明显下降,不合理使用抗菌药物明显改善;平均药费和抗菌药费由干预前的1 853.24、1 123.9元降至干预后的1 492.5、54.53元。结论采用MTP模式干预抗菌药物的预防使用是行之有效的,能显著地降低预防性抗菌药物使用率,提高合理应用抗菌药物水平,降低医疗费用,促进医疗安全。OBJECTIVE To investigate the rationaliy of usihg of antibiotic for type I incisiou site in thyroid surgery, internal fixation removal surgery and breast surgery to improve the rational use of antibiotics clinicaly. METHODS A retrospective study was carried out to analyse the type I incision surgery of 117 cases of thyroid surgery, internal fixation removal surgery and breast surgery from January, 2011 to January, 2013-. The cases from 2011. 01- 2011. 12 were taken as the control group. and the cases from 2012.01- 2013.01 were taken as the intervention group with monitoring- Training-plan （MTP） mode. then observed the rational ity of use antibiotics before and after the intervention. RESULTS The usage rate of antibiotic was decreased after the intervention. The average fee of total drug was 1853. 24 while 1492. 5 after intervention. the average fee of antibiotic was is 1123.9 while 54. 53 after intervention. CONCLUSION The MTP mode to interfere with the prophylactic use of antibiotics is effective. which can significantly reduce the usage of prophylactic antibiotic. improve the level of rational use of antibiotics. reduce medical costs. improve medical safety.

关 键 词：I类切口 围手术期 抗菌药物 干预 合理用药 

分 类 号：R978.1[医药卫生—药品]