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目的评价宝鸡市中心医院临床药师干预骨科Ⅰ类切口手术预防性应用抗菌药物的效果。方法选取宝鸡市中心医院骨科2011年9月—12月(干预前组)和2013年9月—12月(干预后组)出院的骨科Ⅰ类切口手术病历,进行统计、分析。结果通过临床药师干预,医院骨科Ⅰ类切口手术抗菌药物使用率显著下降,用药时机和疗程合理性显著提高,规范了抗菌药物品种选择,同时使患者的治疗费用显著降低。结论通过临床药师的干预可显著提高骨科Ⅰ类切口手术预防性抗菌药物的合理应用水平,同时降低患者的治疗费用。
Objective To evaluate the effect of clinical pharmacists in Baoji Central Hospital on the preventive use of antimicrobial agents in Class Ⅰ incision surgery. Methods The medical records of orthopedic class I incision discharged from Department of Orthopedics, Central Hospital of Baoji from September to December 2011 (pre-intervention group) and September-December 2013 (post-intervention group) were selected for statistical analysis. Results With the intervention of clinical pharmacists, the usage rate of antibacterials in Class I incision surgery decreased significantly, the timing of medication and rationality of treatment were significantly improved, and the choice of antibacterial drugs was standardized and the treatment cost of patients was significantly reduced. Conclusion The clinical pharmacist intervention can significantly improve the level of orthopedic Class Ⅰ incision antimicrobial prophylactic rational use of drugs, while reducing the cost of treatment of patients.