某院Ⅰ类切口预防用抗菌药物临床药师干预效果分析  

Clinical pharmacist intervention effect analysis of Ⅰ type incisions in a hospital

作　　者：陈伟鸿 苏小苹 陈映辉 吴琪琪 周越菡[1] CHEN Wei-hong;SU Xiao-ping;WU Qi-qi(School of Pharmacy,Guilin Medical College,Guilin 541199,China;不详)

机构地区：[1]桂林医学院药学院,广西桂林541199 [2]安溪县医院,福建泉州362400

出　　处：《中国处方药》2022年第3期53-54,共2页Journal of China Prescription Drug

摘　　要：目的分析某院的临床药师对Ⅰ类切口围手术期患者预防用抗菌药物的干预效果。方法采用回顾性分析方法,选取某院2019年1~9月间Ⅰ类切口手术患者2168例作为对照组;选取2019年10~11月间Ⅰ类切口手术患者533例作为干预组,比较两组患者预防用抗菌药物的使用率、合理率等,并进行统计学分析。结果干预前,预防性使用抗菌药物比例为37.26%,术前给药时间合理数比例为84.66%,术后停药时间合理数比例为60.61%,抗菌药物品种选择合理数比例为6.69%;干预后,预防性使用抗菌药物比例为35.27%,术前给药时间合理数比例为89.13%,术后停药时间合理数比例为92.71%,抗菌药物品种选择合理数比例为81.72%。结论经过临床药师干预后,显著提高抗菌药物使用的合理性,降低抗菌药物的使用率,但仍未达到我国卫生部的相关规定(<30%),依然存在部分用药不合理的情况,仍需进一步加强我院对抗菌药物合理应用的管理。Objective To analyze the intervention effect of prophylactic antibiotics on the perioperative patients with Ⅰ incisional incision by clinical pharmacists in a hospital.Methods A retrospective analysis method was used to select 2168 patients with Ⅰ type incision from a hospital from January to September 2019 as the control group.A total of 533 patients undergoing Ⅰ type incision surgery from October to November 2019 were selected as the intervention group,and the utilization rate and rational rate of prophylactic antibiotics were compared between the two groups,and statistical analysis was conducted.Results Before intervention,the proportion of prophylactic use of antibiotics was 37.26%,the proportion of reasonable time of preoperative administration was 84.66%,the proportion of reasonable time of postoperative drug withdrawal was 60.61%,and the proportion of reasonable number of antibacterial drug varieties was 6.69%.After intervention,the proportion of prophylactic use of antibiotics was 35.27%,the proportion of reasonable time of preoperative administration was 89.13%,the proportion of reasonable time of postoperative drug withdrawal was 92.71%,and the proportion of reasonable number of antibacterial drug varieties was 81.72%.Conclusion After the intervention of clinical pharmacists,the rationality of the use of antibiotics can be significantly improved and the utilization rate of antibiotics can be reduced,but it still fails to meet the relevant provisions of the Ministry of Health of China(<30%),and there are still some irrational drug use cases,so it is still necessary to further strengthen the management of rational use of antibiotics in our hospital.

关 键 词：临床药师 Ⅰ类切口 围手术期 抗菌药物 

分 类 号：R969[医药卫生—药理学]