摘要
目的：调查重庆医科大学附属第一医院采取干预措施前后血管介入手术围术期抗菌药物预防应用情况。方法从该院2011年3～5月归档的血管介入手术患者出院病历中，随机抽取100份病历作为非干预组，另抽取100份病历为干预组。制订统一的围术期抗菌药物使用调查表进行调查，分别从抗菌药物使用率、药物选择、开始用药时机及用药疗程等方面对纳入的每份病历进行评价。结果实施干预后，该院血管介入手术预防用药合理率由干预前的6％上升至干预后的99％（P＜0．01），在用药时机、品种选择、用药疗程等方面的合理性均显著提高，而抗菌药物使用率、费用及使用强度（AUD）等均显著降低。结论该院干预措施可显著提高血管介入手术围术期抗菌药物合理应用水平，干预方法有效、可行。
Objective To investigate prophylactic application of antibacterial agents in perioperative period of vascular interven‐tional surgery in our hospital before and after intervention ,and to evaluate the effects of intervention measures .Methods One hun‐dred cases from March to May 2011 were selected as non‐intervention group ,and 100 cases from March to May 2012 after interven‐tion were selected as intervention group .Analysis was conducted on medical information of two groups by questionnaire about their antibiotic drugs use .we evaluated the the percentage of antimicrobial application ,drugs choice ,initial time of medicine treatment ,the course of medication and so on .Results The rational rate of antibacterial use increased from 6% （before intervention） to 99% （af‐ter intervention） （P〈0 .01） .The rationality was improved significantly in respect of initial time of medicine treatment ,antibacterial agents and the course of medication .the percentage of antimicrobial application ,cost of antibacterials and the value of antibiotics use density （AUD） were decreased significantly .Conclusion The intervention of our hospital is feasible and effective ,and could signifi‐cantly improve the perioperative antibacterial application .
出处
《重庆医学》
CAS
北大核心
2015年第3期369-371,共3页
Chongqing medicine
关键词
冠状血管造影术
心血管系统
抗菌药
血管介入手术
干预措施
预防性应用
coronary angiography cardiovascular system anti-bacterial agents vascular interventional surgery intervention measures prophylactic application
