摘要
目的 探讨规范Ⅰ类切口手术预防使用抗菌药物的方法,为规范使用抗菌药物提供参考。方法 回顾性调查药师干预前医院2012年6~8月符合条件的100例Ⅰ类切口手术患者病例资料与药师干预后2013年6~8月的100例Ⅰ类切口手术患者病例资料,对两次调查的围手术期抗菌药物预防使用率、品种选择、给药时机、住院时间等进行统计评价及对比分析。结果 干预前的100例患者全部预防性应用了抗菌药物,预防性用药率为100.00%;术前0.5~2小时开始用药者78例（占78.00%）,术前2~24小时开始用药者14例（占14.00%）,术后开始用药者8例（占8.00%）,预防围手术期感染的用药疗程合理为8例（占8.00%）,平均抗菌药物总费用为934.70元,平均住院总费用为7083.10元,人均住院时间为295.20小时;干预后100例患者中有16例（占16.00%）使用抗菌药物,术前0.5~2小时开始用药者100例（占100.00%）,术后无患者用药,预防围手术期感染的用药疗程合理为100例（占100.00%）,平均抗菌药物费用为2.00元,平均住院费用为4671.40元,人均住院时间为162.20小时,感染率与干预前相比差异无统计学意义（P〉0.05）。结论 药师干预可使外科Ⅰ类切口手术患者围手术期预防性使用抗菌药物的用药指征、品种选择、分级管理、用药疗程更加规范合理。
Objective To explore the standard method of perioperative prophylactic antibiotics applied to clean surgery so as to the reasonable use of antibiotics. Methods We compared the medical records of 100 patients collected before the intervention （from June of 2012 to Aug of 2012） with those of 100 patients after the intervention （from June 2013 to Aug 2013）. Results Of the total 100 cases collected before intervention,all （100%） received antibiotics, with 78 cases （78.0%） receiving antibiotics 0.5-2 hours before operation, 14 cases （14.00%） 2-24 hours before operation, and 8 cases （8.00%） after operation. Postoperatively, the rational ratio of course of antibiotic treatment was 8 cases （8.00%）, the mean cost of antibiotics was 934. 7 Yuan,and the mean hospitalization cost was 7083.1 Yuan. The average hospitalization time was 295.2 hours. Of the 100 cases after intervention, 16 cases （16.00 ^） were given antibiotics, with 100 cases （100.0%） receiving antibiotics 0.5-2 hours before operation and 0 cases （0.00%） after operation. Postoperatively, the rational ratio of course of antibiotic treatment was 100 cases（100.00 %）. The mean cost of antibiotics was 2.0 Yuan, and the mean hospitalization cost was 4671.4 Yuan. The average hospitalization time was 162.2 hours The infection rate showed no statistical difference before and after intervention. Conclusion The intervention of pharmacist to the prophylactic antibiotic application can apparently improve the level of rational drug use during peroperative period.
出处
《西部医学》
2016年第10期1455-1458,共4页
Medical Journal of West China
基金
四川省教育厅科研课题(SJWF1401)
关键词
药师
Ⅰ类切口
合理用药
抗菌药物
Pharmacist
Type Ⅰ incision surgery
Rational drug use
Antibiotics
