风险分层法规范骨与软组织科Ⅰ类切口手术抗菌药物预防使用  

Effect of Risk Classifying Method on Prophylactic Application of Antibiotics in TypeⅠOrthopedic and Parenchyma Incision

作　　者：金育忠[1] 宋建民[1] 雷旭东[1] 梁鹏[1] 朱小军[1] 

机构地区：[1]甘肃省肿瘤医院,兰州730050

出　　处：《中国药房》2015年第32期4493-4495,共3页China Pharmacy

摘　　要：目的:为规范围术期抗菌药的预防使用提供参考。方法:按照骨与软组织科手术特点科学合理的设计Ⅰ类切口感染风险分层表,通过感染风险评估的方式实现手术患者抗菌药物的个体化使用,对高风险Ⅰ类切口手术患者规范使用,低风险患者少用或不用。结果:通过感染风险分层评估法,Ⅰ类切口手术预防使用抗菌药物百分率从74.10%下降至28.68%,手术预防使用抗菌药物人均用药天数从4.23 d缩短至2.21 d,而术后感染率未出现上升。结论:通过感染风险分层评估的方式实现手术患者抗菌药的个体化使用,可以促进抗菌药物的合理使用,在保证手术感染可控的情况下,降低抗菌药物的使用量,减少抗菌药滥用现象。OBJECTIVE： To standardize periooperative prophylactic application of antibiotics. METHODS： According to the characteristics of orthopaedic and parenchyma surgery, classifying evaluation table of type I incision infection risk was designed sci- entifically and rationally. The individual application of antibiotics in surgery patients had been achieved through infection risk evalua- tion. High risk type I incision patients used antibiotics rationally and low risk patients seldom used or didn＇t use at all. RESULTS： Through using infection risks classifying table, the rate of antibiotics prophylactic application in type I incision drops from 74.10% to 28.68%, and and the per capita duration of antibiotics prophylactic application shortened from 4.23 d to 2.21 d. The postopera- tive infection rate remained the same. CONCLUSIONS： Through infection risk classifying evaluation, individual application of anti- biotics can be achieved in surgery patients, so as to promote rational use of antibiotics for prophylactic use, reduce antibiotics dos- age and antibiotics abuse under the condition of controllable surgery infection.

关 键 词：Ⅰ类切口 感染风险 预防使用抗菌药物 合理用药 

分 类 号：R978.1[医药卫生—药品] R969.3[医药卫生—药学]