某院不合理用药记分制对Ⅰ类切口患者围手术期抗菌药物使用成效的影响  

Influence of Score System of Physician’s Irrational Medication in a Hospital on Perioperative Antibacterial Management of Type Ⅰ Incision

作　　者：王书波 李央 李可阳 沈增强 董洪亮[1] 武圆圆 WANG Shu-bo;LI Yang;LI Ke-yang;SHEN Zeng-qiang;DONG Hong-liang;WU Yuan-yuan(Department of Clinical Pharmacy,Jiaozuo People's Hospital,Jiaozuo He'nan 454002,China)

机构地区：[1]焦作市人民医院临床药学室,河南焦作454002

出　　处：《抗感染药学》2020年第12期1733-1736,共4页Anti-infection Pharmacy

摘　　要：目的:探究医院Ⅰ类切口围手术期预防性使用抗菌药物持续改进的效果,评价不合理用药记分制的应用成效,为进一步加强抗菌药物管理提供参考。方法:抽取2017年—2019年间Ⅰ类切口手术病历9728例资料,分析与比较其(每季度)围术期抗菌药物预防使用情况(如抗菌药物品种选择、给药时机、预防疗程)合理性。结果:经比较实施记分制度后,Ⅰ类切口手术围手术期抗菌药物预防性使用率由45.98%下降至27.61%,抗菌药物品种选用合理率由68.82%上升至91.13%,给药时机合理率由60.46%上升至89.41%,预防疗程合理率由14.07%上升至86.35%。结论:不合理用药记分制的实施,降低了医院Ⅰ类切口围术期预防用抗菌药物使用率,提高了抗菌药物品种选择和给药时机的合理性,以致缩短了预防用药疗程,抗菌药物的使用更趋于合理与规范。Objective:To explore hospital incisionⅠperioperative prophylactic medication of antimicrobial drugs effect of continuous improvement,and to evaluate the application effect of irrational drug use scorecard system and to provide reference for further strengthening the management of antimicrobial agents.Methods:Extracting 9728 cases of incisionⅠsurgery medical records information from 2017 to 2019,which for the unit to perioperative preventive use of antimicrobial drugs(such as antibacterial drugs varieties selection,delivery time,preventive treatment)were analyzed and compared.Results:After comparing implementation of scoring system,Ⅰclass incision surgery perioperative antimicrobial prophylactic utilization rate fell to 27.61%from 45.98%.The reasonableness rate of antibacterial drug selection increased from 68.82%to 91.13%;the reasonableness rate of timing of administration increased from 60.46%to 89.41%,and the reasonableness rate of preventive treatment increased from 14.07%to 86.35%.Conclusion:The implementation of the irrational medication marking system,reduces the hospitalⅠclass incision of perioperative prevention with antibacterial drugs utilization rate,the antibacterial drug varieties selection and the rationality of the time were improved.As a result,it shortens the course of prophylactic medication,and the medication of antibacterial drugs tends to be more reasonable and standard.

关 键 词：不合理用药记分制 Ⅰ类切口手术 抗菌药物 管理 

分 类 号：R969.3[医药卫生—药理学]