论文部分内容阅读
目的分析综合干预对我院妇科Ⅰ类切口手术预防性使用抗菌药物的管理效果。方法 2011年1月至2013年6月我院对妇科Ⅰ类切口手术病例围手术期抗菌药物预防性使用实施4个阶段连续性综合干预,分析评价综合干预前后抗菌药物预防性使用的合理性,以用药合理情况评估综合干预管理效果。结果抗菌药物预防使用比例,干预前为100%,干预后4个阶段分别下降为15.51%、14.46%、9.83%和15.45%,且抗菌药物平均用药天数低于干预前水平;抗菌药物合理使用率从干预前的30.64%上升到90%以上;抗菌药物不合理应用的各种情况均有不同程度的改善。结论我院妇科Ⅰ类切口手术围手术期预防性使用抗菌药物综合干预管理效果显著,进一步评估有待后续长效管理的推进。
Objective To analyze the management effect of comprehensive intervention on the preventive use of antibacterials in Class Ⅰ gynecological incision in our hospital. Methods From January 2011 to June 2013, we conducted a four-stage comprehensive intervention on perioperative prophylactic use of antimicrobial agents in patients with gynecological class Ⅰ incision surgery. The rationality of prophylactic use of antimicrobial agents before and after comprehensive intervention was analyzed and evaluated. Evaluate the effect of comprehensive intervention management based on the rational use of drugs. Results The proportions of antimicrobial prophylaxis were 100% before intervention and 15.51%, 14.46%, 9.83% and 15.45% respectively in the four stages after intervention, and the average number of days for antibacterial treatment was lower than that before intervention. The rational use rate of antibacterials From 30.64% before the intervention increased to more than 90%; irrational use of antimicrobial agents have improved in varying degrees. Conclusions In our hospital gynecology Ⅰ class incision perioperative prophylactic use of antibacterials comprehensive intervention management effect is significant, to further evaluate the follow-up long-term management of the promotion.