摘要
目的分析我院Ⅰ类切口手术抗菌药物预防应用情况。方法随机抽取抗菌药物专项整顿前后的我院2011年与2014年Ⅰ类切口手术病历176和195份,对比两组预防使用抗菌药物的使用率、品种、给药方式、用药时机与术后用药时间及Ⅰ类切口感染率。结果 2011年与2014年预防使用抗菌药物使用率分别为89.20%和63.08%,差异有统计学意义(P<0.05)。给药途径均为静脉滴注。2011年与2014年用药时间及术后应用抗菌药物时间合理率分别为12.10%、61.79%及22.93%、81.30%,差异均有统计学意义(P<0.05)。Ⅰ类切口感染率无变化。结论 2011年Ⅰ类切口手术预防使用抗菌药物存在不合理现象,通过抗菌药物专项整顿,2014年Ⅰ类切口手术预防使用抗菌药物有较大改善,但仍存在着一定的问题。
Objective To analyze the prophylactic antibiotics use in type I incision operation so as to provide a reference for the management. Methods 176 and 195 cases of medical records in type I incision were random extracted from our hospital in 2011 and 2014 before and after antimicrobial agents special rectification. The use of prophylactic antimicrobial agents in type I incision operations were compared and analyzed for their use, drug type, administration method, administration timing, drug duration and infected ratio. Results The use rate of prophylactic antimicrobial agents was respectively 89.20% and 63.08% in 2011 and 2014, and the difference was statistically significant（P〈0.05）. The administration method was intravenous drip. The rational application rate of administration timing and drug duration were respectively 12.10%、61.79% and 22.93%、81.30% in 2011 and 2014, and the difference was statistically significant（P〈0.05）. The infected ratio in type I incision were no change in 2011 and 2014. Conclusion The use of prophylactic antimicrobial agents in type I incision operations was some unreadable aspects in 2011. After antimicrobial agents special rectification, the use of prophylactic antimicrobial agents in type I incision operations had improved considerably in 2014. But there were still some problems.
出处
《中国卫生标准管理》
2015年第33期170-172,共3页
China Health Standard Management
关键词
抗菌药物
Ⅰ类切口
分析
Antibacterial agents
Type I incision
Analysis
