妇科Ⅰ类切口手术围手术期抗菌药物预防性使用管理分析  

Management on the prophylactic use of antibiotics during perioperative period of typeⅠsurgical incision operations of gynecology

作　　者：范洁[1] 底雪梅[1] 黄小萍[1] 

机构地区：[1]同济大学附属第一妇婴保健院药剂科,上海200040

出　　处：《世界临床药物》2015年第1期29-33,共5页World Clinical Drug

摘　　要：目的分析综合干预对我院妇科Ⅰ类切口手术预防性使用抗菌药物的管理效果。方法 2011年1月至2013年6月我院对妇科Ⅰ类切口手术病例围手术期抗菌药物预防性使用实施4个阶段连续性综合干预,分析评价综合干预前后抗菌药物预防性使用的合理性,以用药合理情况评估综合干预管理效果。结果抗菌药物预防使用比例,干预前为100%,干预后4个阶段分别下降为15.51%、14.46%、9.83%和15.45%,且抗菌药物平均用药天数低于干预前水平;抗菌药物合理使用率从干预前的30.64%上升到90%以上;抗菌药物不合理应用的各种情况均有不同程度的改善。结论我院妇科Ⅰ类切口手术围手术期预防性使用抗菌药物综合干预管理效果显著,进一步评估有待后续长效管理的推进。Objective To analyze the effect of integrated intervention management on antibiotics perioperative use in typeⅠ surgical incision operations of gynecology in our hospital. Methods The typeⅠ surgical incision operations were selected from January 2011 to June 2013. All the antibiotics perioperative use was implemented four-stage integrated intervention. All the data of antibiotics use were collected and compared. Results The percentage of antibiotics use and the average duration of taking antibiotics were lower than pre-intervention： the percentage of antibiotics use decreased from 100% to 15.4%,14.46%,9.83% and 5.45% after four-stage intervention, the average duration were shortened than post intervention. At the same time, there was a remarkable improvement on the rationality of antibiotics use, the percentage was increased from 30.64% to more than 90% respectively after intervention. And the manifestation of irrational antibiotics use was also improved after intervention management. Conclusion The integrated intervention management is effective and feasible, which can significantly improve the rational use of antibiotics perioperative in typeⅠ surgical incision operations of gynecology in our hospital.

关 键 词：Ⅰ类切口手术 抗菌药物 妇科 

分 类 号：R713[医药卫生—妇产科学] R978[医药卫生—临床医学]