摘要
目的了解我院骨科I类切口手术预防性使用抗菌药物的情况,探讨干预措施和效果。方法选取海军军医大学第三附属医院骨科2016年2月至2017年2月的213例I类切口手术患者作为对照组,另选2017年3月至2017年10月的144例I类切口手术患者作为干预组,分析2组I类切口手术预防性使用抗菌药物情况。结果对照组I类切口手术抗菌药物的预防使用率为85. 45%(182例),干预组为52. 78%(76例)(P <0. 05);对照组术后24 h停药率为7. 69%(14例),干预组为48. 68%(37例)(P <0. 05)。结论该院骨科I类切口手术预防使用抗菌药物存在不合理的现象,采取有效措施后,I类切口手术预防性使用抗菌药物的情况有了显著改善。
Objective To investigate the status in the application of prophylactic use of antibiotics in orthopedic patients with type Ⅰ incision surgery, and to discuss the intervention measures and its effects. Methods A total of 213 orthopedic patients with type Ⅰ incision surgery, who sought medical care in the hospital between February 2016 and February 2017 were enrolled as the control group, and another 144 orthopedic patients, who received type I incision surgery from March 2017 to October 2017 were recruited as the intervention group. The application of prophylactic use of antibiotics in type Ⅰ incision surgery was analyzed between the 2 groups. Results The rate of prophylactic use of antibiotics in the control group was 85.45% （ 182 cases）, while that of the intervention group was only 52.78% （76 cases） （P 〈0.05 ）. After surgery, the rate of drug withdrawal was 7.69% （ 14 cases） in the control group, and that of the intervention group was48.68% （37 cases） （P〈0.05）. Conclusion hfational application of prophylactic use of antibiotics in orthopedic patients with Upe I incision surgery in the hospital is quite common. After effective countermeasures are taken, significant progress has been made in the control of prophylactic use of antibiotics of type Ⅰ incision surgery.
作者
张孟希
柴明珍
邱福建
Zhang Mengxi;Chai Mingzhen;Qiu Fujian(Department of Infection Control,Third Affiliated Hospital,Navy Medical University,Shanghai 201800,China)
出处
《海军医学杂志》
2018年第5期424-426,458,共4页
Journal of Navy Medicine
关键词
Ⅰ类切口手术
骨科
抗菌药物
预防性使用
干预
Type Ⅰ incision surgery
Orthopedics
Antibiotics
Prophylactic use
Intervention
