【摘要】 目的:分析用药干预对某院Ⅰ类切口手术预防用抗菌药的影响。方法:采取回顾性调查方法,选取该院2013年4~12月收治的170例行Ⅰ类切口手术患者作为干预前组,另选2014年4~12月收治的173例行Ⅰ类切口手术患者作为干预组,比较预防用药比例、时机、药物选择和用药疗程方面的干预效果。结果:经过重点干预,干预前组Ⅰ类切口手术使用抗菌药比例为67.65%,干预组降至26.59%(P<0.01);预防用药时机不合理比例由15.88%降至4.63%,预防用药时间不合理比例由30.58%降至8.09%,联合用药由10.59%降至5.20%。结论:通过对Ⅰ类切口手术预防用药的干预,合理用药水平有了明显的升高,但仍需进一步的规范。更多还原

【Abstract】 Objective: To analyze the effects of rational intervention on prophylactic antibiotics use in type Ⅰ Incision. Methods:A retrospective investigation method was used. Totally 170 cases with type Ⅰ Incision undergone in the hospital from April to December2013 were selected as the non-intervention group,and 173 cases with type Ⅰ Incision undergone in the hospital from April to December 2014 were selected as the intervention group. The prophylactic antibiotics use,medication time,drug selection and duration of drug treatment were analyzed. Results: After intervention,the use rate of antibiotics was decreased from 67.65% to 26.59%,the irrational rate of use time was decreased from 15.88% to 4.63%,the irrational rate of treatment course was decreased from 30.58% to 8.09%,and the combination rate was declined from 10.59% to 5.20%. Conclusion: The rational prophylactic use of antimicrobial in type Ⅰincision is improved through the intervention,and further efforts are still needed to improve the reasonable use.更多还原