某院Ⅰ类切口手术预防用抗菌药的干预效果分析  

Analysis of Intervention Effect on Prophylactic Antibiotics Use in Type Ⅰ Incision in One Hospital

作　　者：甘源[1] 许素燕 苏琼华[1] 

机构地区：[1]河南省人民医院药学部,郑州450000

出　　处：《中国药师》2016年第4期700-702,共3页China Pharmacist

基　　金：河南省科技发展计划项目(编号:142102310406)

摘　　要：目的：分析用药干预对某院Ⅰ类切口手术预防用抗菌药的影响。方法：采取回顾性调查方法,选取该院2013年4～12月收治的170例行Ⅰ类切口手术患者作为干预前组,另选2014年4～12月收治的173例行Ⅰ类切口手术患者作为干预组,比较预防用药比例、时机、药物选择和用药疗程方面的干预效果。结果：经过重点干预,干预前组Ⅰ类切口手术使用抗菌药比例为67.65%,干预组降至26.59%（P〈0.01）;预防用药时机不合理比例由15.88%降至4.63%,预防用药时间不合理比例由30.58%降至8.09%,联合用药由10.59%降至5.20%。结论：通过对Ⅰ类切口手术预防用药的干预,合理用药水平有了明显的升高,但仍需进一步的规范。Objective： To analyze the effects of rational intervention on prophylactic antibiotics use in type Ⅰ Incision. Methods：A retrospective investigation method was used. Totally 170 cases with type Ⅰ Incision undergone in the hospital from April to December2013 were selected as the non-intervention group,and 173 cases with type Ⅰ Incision undergone in the hospital from April to December 2014 were selected as the intervention group. The prophylactic antibiotics use,medication time,drug selection and duration of drug treatment were analyzed. Results： After intervention,the use rate of antibiotics was decreased from 67.65% to 26.59%,the irrational rate of use time was decreased from 15.88% to 4.63%,the irrational rate of treatment course was decreased from 30.58% to 8.09%,and the combination rate was declined from 10.59% to 5.20%. Conclusion： The rational prophylactic use of antimicrobial in type Ⅰincision is improved through the intervention,and further efforts are still needed to improve the reasonable use.

关 键 词：抗菌药 Ⅰ类切口手术 预防用药 干预 合理用药 

分 类 号：R978.1[医药卫生—药品]