持续干预对围手术期预防使用抗菌药物的影响  

Influences of sustained intervention on clinical effects of perioperative prophylactic use of antibiotics

作　　者：张敏[1] 赵婷[1] 于丽红[1] 

机构地区：[1]潍坊市人民医院药剂科,潍坊261041

出　　处：《滨州医学院学报》2017年第2期103-106,共4页Journal of Binzhou Medical University

摘　　要：目的调查我院围手术期患者抗菌药物预防使用情况,为抗菌药物合理应用提供依据。方法随机抽取2013年1月~2015年12月围手术期预防使用抗菌药物病例3792例,对抗菌药物的适应症、药物选择、用法用量、用药时机、持续时间等进行合理性评价。结果 2013年到2015年,围手术期预防使用抗菌药物合理率分别为48.2%,78.9%,90.1%,医院专项整治成效显著。结论我院围手术期抗菌药物预防使用愈趋规范,但仍存在抗菌药物预防使用指征把握不严、术后使用时间过长等不合理现象,医院应加强贯彻落实抗菌药合理应用的相关规定,保证患者用药安全、经济、有效。Objective To analyze the use of antibiotics during perioperative period in our hospital,and to provide reference for administration of antibiotics application. Methods 3792 surgical cases from January 2013 to December 2015 were randomly selected to evaluate the perioperative use of antibiotics. The rationality of antibacterial drug indications, drug selection,usage and dosage,medication time,duration were avaluated. Results From 2013 to 2015,the perioperative antimicrobial of the rational utilization rate respectively 48.20% ,78.9 %, 90.1%. Remarkable management effect was obsvered. Conclusion The perioperative antimicrobial utilization in our hospital is more and more standardized, but a small part of problem such as excessive use of antibiotic in clean surgical site during perioperation, long duration of antibiotics prophylaxis still exists. The rational utilization of antimicrobial drugs required by the Ministry of Health should be strict implemented in order to ensure the drug safety,economy and efficacy for patients.

关 键 词：抗菌药物 合理用药 围手术期 

分 类 号：R452[医药卫生—治疗学]