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目的:分析探讨综合干预措施对抗菌药物应用管理的效果。方法:按照抗菌药物临床应用指导原则,通过建立抗菌药物计算机管理系统,对四川省眉山市彭山区人民医院2013年1月-6月住院患者108例的抗菌药物使用情况,实施有针对性的综合护理干预,对比分析综合干预前后的抗菌药物应用情况。结果:干预后,108例住院患者,住院天数为(10.1±1.1)d,抗菌药物平均费用81 067.81元,感染(疑似感染)患者26例(24.1%),病原菌送检22例(20.4%),使用抗菌药物的患者81例(75.0%)。干预前后,各项指标数据差异具有统计学意义(P<0.05)。结论:采用一系列的综合干预措施对抗菌药物进行管理,能够提高抗菌药物使用的合理性。
Objective: To analyze the effects of comprehensive interventions on the management of antimicrobial agents. Methods: According to the guiding principles of clinical application of antibacterial drugs, through the establishment of computerized management system of antibacterial drugs, we conducted a targeted synthesis of 108 cases of inpatients from January to June 2013 in Pengshan District People’s Hospital of Meishan City, Sichuan Province Nursing intervention, comparative analysis of the comprehensive intervention before and after the application of antimicrobial agents. Results: After the intervention, 108 hospitalized patients were hospitalized for (10.1 ± 1.1) days, the average cost of antibiotics was 81 067.81 yuan, 26 cases (24.1%) were infected (suspected infection), 22 cases (20.4% 81 patients (75.0%) used antibiotics. Before and after intervention, the differences of each index data were statistically significant (P <0.05). Conclusion: The management of antimicrobial agents using a series of comprehensive interventions can improve the rationality of antimicrobial use.