联合干预后抗菌药物临床应用与医院感染控制效果的调查  

Investigation of clinical application of antibiotics and effect of nosocomial infection control after combined interventions

作　　者：尚秀娟[1] 史素丽[2] 程爱斌[3] 吴玉芳[3] 李冬霞[4] 

机构地区：[1]河北联合大学附属医院医务处,河北唐山063000 [2]河北联合大学附属医院病案科,河北唐山063000 [3]河北联合大学附属医院ICU,河北唐山063000 [4]河北联合大学附属医院院感科,河北唐山063000

出　　处：《中华医院感染学杂志》2015年第19期4430-4431,4437,共3页Chinese Journal of Nosocomiology

基　　金：河北省科技厅基金资助项目(132777161)

摘　　要：目的了解抗菌药物联合干预成效,为深入开展抗菌药物临床应用专项整治工作及医院感染控制提供依据。方法由临床药学部及医院感染科对2013年1-12月26 686例住院患者抗菌药物使用率与医院感染率、例次感染率、漏报率及治疗使用抗菌药物病原学送检率等指标进行调查、汇总、分析。结果通过联合干预措施的有效落实,2013年住院患者抗菌药物使用率由1月份57.79%下降至12月份48.48%;医院感染率由2.07%下降至1.47%,例次感染率由2.58%下降至1.81%;漏报率由6.82%下降至2.63%;治疗使用抗菌药物病原学送检率由47.28%上升至55.25%。结论职能科室参与的多部门联合干预管理,是抗菌药物合理应用及医院感染控制的有效措施。OBJECTIVE To understand the effect of combined interventions to antibiotics so as to provide references for further carrying out specific rectification work of clinical application of antibiotics and control of nosocomial in‐fections .METHODS Totally 26 ,686 cases of patients who received antibiotics from Jan .2013 to Dec .2013 in clini‐cal medicine department and infection department were chosen as study objects and their infection rate ,case infec‐tion rate ,missing report rate and inspection rate were investigated and summarized to make an analysis .RESULTS After effective combined interventions ,the antibiotic use rate decreased from 57 .79% in Jan .to 48 .48% in Dec . And the hospital infection rate reduced from 2 .07% to 1 .47% .Case infection rate decreased from 2 .58% to 1 .81% and missing report rate dropped from 6 .82% to 2 .63% .However ,the inspection rate increased from 47 .28% to 55 .25% .CONCLUSION Combined interventions by functional departments are effective ways to carry out rational use of antibiotics and control nosocomial infections .

关 键 词：抗菌药物 医院感染 干预 调查 

分 类 号：R978.1[医药卫生—药品]