临床药师干预宫腔镜手术围术期抗菌药物使用的效果分析

发布时间：2018-11-18 16:03

【摘要】：目的:探讨临床药师对宫腔镜手术围术期抗菌药物使用实施干预的效果。方法:抽取2014年7-9月(干预前)、2014年10-12月(干预后)宫腔镜手术治疗的患者病历各250份,对干预前后围术期使用抗菌药物的合理性进行回顾性分析。结果:经干预后,抗菌药物使用强度由47.02 DDDs/(100人·d)降至23.30 DDDs/(100人·d),使用率由82.40%降至57.20%,干预前后比较差异均有统计学意义(P0.01);宫腔镜手术围术期抗菌药物用药指征合理率由56.80%升至82.52%,用药疗程合理率由49.51%升至79.02%,干预前后比较差异均有统计学意义(P0.05)。结论:临床药师干预宫腔镜手术围术期抗菌药物使用是有效、可行的,能积极促进抗菌药物的合理使用。
[Abstract]:Objective: to investigate the effect of clinical pharmacists on perioperative use of antibiotics in hysteroscopic surgery. Methods: 250 cases of hysteroscopic surgery were collected from July to September 2014 (before intervention) and October to December 2014 (after intervention). The rationality of using antimicrobial agents in perioperative period before and after intervention was analyzed retrospectively. Results: after intervention, the intensity of antimicrobial use decreased from 47.02 DDDs/ (100person-d) to 23.30 DDDs/ (d), usage rate decreased from 82.40% to 57.20%). The differences before and after intervention were statistically significant (P0.01). The rational rate of indication of antimicrobial use was increased from 56.80% to 82.52 and the reasonable rate of course of treatment was increased from 49.51% to 79.02. The difference was statistically significant before and after intervention (P0.05). Conclusion: it is effective and feasible for clinical pharmacists to intervene in perioperative use of antimicrobial agents in hysteroscopic surgery, and can actively promote the rational use of antimicrobial agents.
【作者单位】：重庆市妇幼保健院药剂科;
【分类号】：R969.3

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