医院Ⅰ类切口围手术期预防应用抗菌药物的调查研究  

作　　者：刘华之[1] 周瑞芬[1] 明心海 谢文[1] 陈辉[1] 侯良[1] 

机构地区：[1]赣南医学院第一附属医院医院感染管理科,江西341000

出　　处：《当代医学》2016年第5期146-147,共2页Contemporary Medicine

摘　　要：目的了解Ⅰ类切口患者预防使用抗菌药物情况,评价围手术期抗菌药物使用专项整治活动管理成效。方法选取Ⅰ类切口手术病例1142份,分析抗菌药物使用率,抗菌药物选择正确率,用药时机、用药时间合理率,抗菌药物平均使用天数,数据采用SPSS 13.0进行统计分析。结果I类切口围手术期抗菌药物使用率由80.42%下降至22.28%,抗菌药物选择合理率由54.97%增加至98.16%,使用时机合理率由81.15%增加至99.08%,抗菌药物使用时间合理率由37.43%增加至92.17%,抗菌药物平均使用天数由(2.91±0.56)d减少至(1.53±0.58)d,差异均有统计学意义(P<0.05)。结论医院围手术期抗菌药使用物专项整治活动成效显著。Objective To understand the data of antibacterial use for type I incision surgery and evaluate the effectiveness of the special improvement for the utilization of antibiotic during the perioperative period. Methods Toally 1142 cases with type I incision operation were selected ,then the utilization rate of antibiotics, the rational rate of antimicrobial drugs, the rational timing of medication, the medication time and the average days of antibiotic were analyzed with the software SPSS 13.0. Results The utilization rate of antibiotic during the perioperative period of type I incision surgery droped from 80.42% to 22.28%, the rational rate of antimicrobial drugs rised from 54.97% to 98.16%, the rate of reasonable timing of medication increased from 81.15% to 99.08%,the rate of reasonable medication time rised from 37.43% to 92.17%,and the average days of antibiotic droped from （2.91 ± 0.56） days to （1.53 ± 0.58） days. the differences were significant （P〈0.05）. Conclusion The special improvement for the use of antibiotics during the perioperative period has scored remarkable achievements.

关 键 词：Ⅰ类切口 围手术期 抗菌药物 合理用药 

分 类 号：R978.1[医药卫生—药品]