专项整治前后某院Ⅰ类切口手术围术期预防使用抗菌药物分析  

Analysis of the Effectiveness of Special Rectification Activity in Prophylactic Application of Antibiotics for TypeⅠIncision Operation in a Hospital

作　　者：张颖[1] 李云川[2] 刘玲[1] 

机构地区：[1]重庆市急救医疗中心药剂科,重庆400014 [2]重庆市急救医疗中心信息科,重庆400014

出　　处：《中国药房》2014年第26期2424-2426,共3页China Pharmacy

摘　　要：目的:了解抗菌药物专项整治前后某院Ⅰ类切口手术围术期预防使用抗菌药物情况,探讨专项整治成效。方法:采用回顾性方法,对2011年1-8月和2013年同期该院Ⅰ类切口手术围术期预防使用抗菌药物的使用率、药物品种选择、给药时机、用药持续时间等方面进行统计、对比分析。结果:抗菌药物使用率由整治前的44.06%下降到整治后的29.69%,合理率由整治前的37.59%上升到整治后的69.47%,抗菌药物使用各项指标得到极大改善。结论:经过专项整治,该院抗菌药物临床应用趋于合理,多项指标已符合原卫生部规定,但仍存在一些问题,有待进一步改进。OBJECTIVE： To survey the situation of the prophylactic application of antibiotics in type I incision surgery since an- tibiotics special rectification, and to explore the effectiveness of special rectification activity. METHODS： By retrospective analy- sis, the prophylactic application of antibiotics in type I incision surgery from Jan. to Aug. in 2011 and 2013 were analyzed statisti- cally in respects of utilization ratio, drug selection, medication timing and duration. RESULTS： The utilization rate of antibiotics fell to 29.69% after rectification from 44.06% before rectification, and the proportion of rational drug use increased to 69.47% af- ter rectification from 37.59% before rectification. The indexes of antibiotics use had been improved greatly. CONCLUSIONS： The application of antibiotics in the hospital becomes more rational after special rectification. A large part of the indicators are in line with previous MOH standard, and there are some little problem which should be further improved.

关 键 词：Ⅰ类切口 抗菌药物 成效 

分 类 号：R969.1[医药卫生—药理学] R978.1[医药卫生—药学]