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目的通过专项整治活动,改进基层医院外科Ⅰ类切口手术患者围手术期抗菌药物预防使用。方法选择整治前的2011年1-6月Ⅰ类切口手术患者整治前225例和整治后的2014年1-6月医院普外科Ⅰ类切口手术患者419例,回顾性分析其围手术期抗菌药物预防使用率、品种选择合理率、预防使用时间≤24h符合率及手术切口感染率,数据采用SPSS13.0软件进行统计分析。结果整治前围手术期抗菌药物预防使用率为68.89%,整治后下降为14.32%,差异有统计学意义(P<0.05),整治前、后全部手术病例均为单用抗菌药物,无联合用药;抗菌药物预防使用时间<24h符合率整治前、后分别为69.68%和91.67%,差异有统计学意义(P<0.05);手术部位感染率整治前、后分别为0.44%和0.48%,差异无统计学意义。结论采取综合干预措施开展专项整治,对改进基层医院外科Ⅰ类切口手术围术期抗菌药物预防使用有一定提升作用,不增加手术部位感染率。
Objective To improve the prevention and control of perioperative antibiotics in patients with surgical incision type Ⅰ in primary hospital through special rectification activities. Methods Before treatment, 225 cases of type Ⅰ incision surgery before reformation from January 2011 to June 2011 and 419 cases of type Ⅰ incision surgery from January to June 2014 after rehabilitative surgery were retrospectively analyzed, and their perioperative antibacterials The rate of prevention use, the reasonable selection of varieties, the coincidence rate of preventive use time≤24h and the incision infection rate were analyzed by SPSS 13.0 software. Results The results showed that the preventive and curative rate of perioperative antimicrobial agents was 68.89% and 14.32% after remediation. The difference was statistically significant (P <0.05). All the cases before and after remediation were treated with antimicrobial agents alone and no combination therapy ; The time of preventive use of antibacterials was less than 24h, and the difference was statistically significant (P <0.05) before and after remediation; the infection rates of operation site before and after remediation were 0.44% and 0.48% No statistical significance. Conclusion The comprehensive interventions to carry out special rectification, to improve the primary hospital surgical incision Ⅰ class operation of antimicrobial agents to prevent the use of a certain role in promoting, does not increase the surgical site infection rate.