综合干预措施对血管外科合理使用抗菌药物的影响研究

发布时间：2018-04-27 14:42

本文选题：综合干预 + 抗菌药物　；参考：《中华医院感染学杂志》2015年19期

【摘要】：目的通过综合干预措施促进血管外科抗菌药物的合理使用,以保证患者得到安全、有效、经济的药物治疗。方法采取行政管理和宣传教育等多种方式对医院血管外科抗菌药物的合理使用进行干预,选取2011年1-3月和2014年1-3月血管外科所有出院患者405例,将其分为干预前组151例、干预后组254例,对干预前后各项评价指标进行对照研究。结果住院患者抗菌药物使用率由干预前的(83.02±8.40)%下降至干预后的(16.77±6.78)%,Ⅰ类切口手术患者预防性使用抗菌药物比例由干预前的(93.90±5.31)%下降至干预后的(7.71±3.84)%,抗菌药物使用强度由干预前的(57.86±11.68)DDDs下降至干预后的(18.71±6.77)DDDs,其他多项指标均有显著改善。结论采用综合干预措施对医院血管外科抗菌药物的合理、经济使用起到了积极的促进作用。
[Abstract]:Objective to promote the rational use of antibacterials in vascular surgery by comprehensive intervention to ensure safe, effective and economical drug therapy. Methods the rational use of antimicrobial drugs in vascular surgery was interfered with by administrative management, propaganda and education. 405 patients were selected and divided into two groups: 151 patients were treated before intervention, and 405 patients were discharged from vascular surgery from January to March in 2011 and 2014. 254 cases in the intervention group were compared with each other before and after intervention. Results the utilization rate of antimicrobial agents in inpatients decreased from 83.02 卤8.40% before intervention to 16.77 卤6.78% after intervention. The proportion of prophylactic use of antibiotics decreased from 93.90 卤5.31% before intervention to 7.71 卤3.84% after intervention, and the intensity of antimicrobial use decreased from dry to dry. 57.86 卤11.68)DDDs before intervention decreased to 18.71 卤6.77 DDS after intervention, and many other indexes were significantly improved. Conclusion Comprehensive intervention can promote the rational and economical use of antimicrobial drugs in vascular surgery.
【作者单位】：首都医科大学附属北京朝阳医院药事部;首都医科大学附属北京朝阳医院血管外科;首都医科大学附属北京朝阳医院医院感染与疾病控制处;
【基金】：国家自然科学基金资助项目(81172986)
【分类号】：R969.3

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