【摘要】 目的评价监测干预后产科抗菌药物的合理使用情况。方法随机抽取2008-2010年我院产科实施干预措施后的病历180份,回顾性调查分析其用药情况,评价干预效果。结果 2008-2010年的平均预防用抗菌药由3.72 d降至2.33 d;抗菌药二联用药率由21.67%降至6.67%;药物选择由二、三代头孢趋向于选用一、二代头孢菌素。结论采取有效的干预措施后,预防用抗菌药合理性显著提高,说明监测、干预和教育培训等方式是促进临床合理用药的有效途径。更多还原

【Abstract】 Objective To evaluate the situation of rational antibiotics use in obstetric department after intervention.Methods 180 cases of obstetric department were selected randomly from January 2008 to December 2010 under intervention,and the antibiotics use situation was analyzed retrospectively.Results The average number of days of prevented antibiotics use decreased from 3.72 d to 2.33 d,and the rate of combination use declined from 21.67% to 6.67% from 2008 to 2010.The choice of antibiotic tended to first and second generation cephalosporin instead of the second and third generation cephalosporin.Conclusion The rationality of prevented antibiotics use can be improved significantly after effective intervention measures.The monitoring,intervention and education are effective measures to promote rational drug use.更多还原