专项整治前后我院Ⅰ类切口手术围术期抗菌药物使用分析

发布时间：2018-05-15 08:36

本文选题：预防用药 + Ⅰ类切口手术　；参考：《中国药房》2015年35期

【摘要】：目的:评价我院开展抗菌药物临床应用专项整治的效果。方法:分别于2010年5月-2011年4月、2011年5月-2012年4月、2012年5月-2013年4月、2013年5月-2014年4月4个时间段,从我院所有Ⅰ类切口手术的出院病历中随机抽取100份,共计400份,对抗菌药物使用强度、Ⅰ类切口手术围术期抗菌药物使用率、药物利用指数、围术期抗菌药物选用的种类、给药时间等评价指标进行统计分析。结果:自2011年5月开展抗菌药物临床应用专项整治活动后,我院Ⅰ类切口手术围术期抗菌药物使用率从96%下降至33%,药物利用指数从1.44下降至0.79,药物选择合理率从19.8%上升至100%,给药时间合理率从43.8%上升至100%。结论:抗菌药物临床应用专项整治活动的开展,使我院Ⅰ类切口手术围术期抗菌药物的合理用药评价指标均明显改善。
[Abstract]:Objective: to evaluate the effect of clinical application of antimicrobial drugs in our hospital. Methods: from May 2010 to April 2011, from May 2011 to April 2012, from May 2012 to April 2013, from May 2013 to April 2014, 100 medical records were randomly selected from all the first class incisions. The use intensity of antimicrobial agents, the utilization rate of antibiotics in perioperative period, the utilization index of antibiotics, the kinds of antibiotics used in perioperative period and the time of administration were analyzed statistically. Results: since May 2011, a special campaign on the clinical application of antimicrobial agents has been carried out. The utilization rate of antibiotics decreased from 96% to 33%, the drug utilization index decreased from 1.44 to 0.79, the rational rate of drug selection increased from 19.8% to 100 and the reasonable rate of administration time increased from 43.8% to 100. Conclusion: the development of special treatment activities for clinical application of antimicrobial agents can improve the evaluation indexes of rational use of antibiotics during perioperative period of class I incision operation in our hospital.
【作者单位】：上海市同仁医院;
【基金】：上海医院药学科研基金资助项目(No.2013-YY-02-17)
【分类号】：R978.1

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