围手术期预防性抗菌药物应用的管理对策与干预研究  

Administrative strategy and intervention study for perioperative prophylactic application of antimicrobial agents

作　　者：邓宁[1] 钱莹[1] 朱秀琪[1] 朱琪[1] 文友民[1] 何兰杰[1] 

机构地区：[1]宁夏医科大学总医院心脑血管病医院,银川750002

出　　处：《中国抗生素杂志》2015年第4期300-303,共4页Chinese Journal of Antibiotics

基　　金：宁夏回族自治区卫生厅科研项目(2012045)

摘　　要：目的 为加强围手术期预防性抗菌药物的合理使用,探索切实可行的管理对策.方法 通过行政管理,辅以专业技术干预的模式,对所有Ⅰ类切口手术预防用抗菌药物情况,分不同阶段进行持续改进,对管理成效进行分析.结果 通过管理与干预,预防用药率下降至38.9％,术前0.5～2h的使用率达96.2％,第一、二代头孢的选用率达70.6％,用药品种减少了10种,用药疗程缩短为1.8d,药费比例下降了2.65％.结论 所采取的管理对策与干预措施具有效性,可以促进抗菌药物在围手术期的规范使用,该方法可进一步推广到其他药物的合理应用;同时为心脑血管医院预防使用抗菌药物提供了参考数据.Objective To explore administrative strategy and intervention study for perioperative prophylactic application of antimicrobial agents. Methods The continuous improvement model was applied to administration and professional technology, which guide physicians rationally use of antimicrobial agents for type I incisionsurgery in different stages. Results After administration and intervention, the percentage of prophylactic use was lower to 38.9%, the utilization rate of the fist and seccond generation of cephalosporin took up 70.6%, the categories of antibiotics reduced of 10. 96.2% of patients were received at 30min-2h before surgery. Average medication duration decreased to 1.Sd. The proportion of drugs decreased by 2.65%. Conclusions The counter measure is effective and feasible. It is not only promoting rational use of antimicrobial prophylaxis, but also can be widely used in other agents management.

关 键 词：抗菌药物 管理 干预 围手术期 预防用药 

分 类 号：R978[医药卫生—药品]