摘要
目的为临床Ⅰ类切口手术合理预防使用抗菌药物提供参考。方法回顾性分析医院2014年1月至2016年12月住院患者Ⅰ类切口手术预防性使用抗菌药物情况。结果临床药师采用PDCA循环干预,干预后(2015年、2016年)该院住院患者Ⅰ类切口手术抗菌药物预防使用率和七大类手术抗菌药物预防使用率逐年大幅降低(P <0. 01);干预后药物选择、给药时机、给药疗程的合理率较干预前显著提高,联合用药率显著降低;干预前后预防使用抗菌药物品种有一定差异。结论该院住院患者Ⅰ类切口手术抗菌药物预防使用情况干预后逐渐趋于合理,但仍存在一些问题,需要继续加强手术预防用抗菌药物合理使用的监管。
Objective To provide reference for rational prophylactic application of antibiotics in type Ⅰ incision surgery. Methods A retrospective analysis was made on the prophylactic application of antibiotics in the perioperative period of type Ⅰ incision surgery in the inpatients from January 2014 to December 2016. Results After the PDCA cycle intervention by clinical pharmacists( in 2015 and2016),the prophylactic application rate of antibiotics in type Ⅰ incision surgery and the prophylactic application rate of antibiotics in seven kinds of surgery in the inpatients in our hospital were significantly reduced year by year( P < 0. 01). After the intervention,the reasonable rates of drug selection,drug administration time and drug administration course were significantly higher than those before intervention,and the rate of combined use of antibiotics was significantly lower. There were some differences in the varieties of prophylactic antibiotics before and after the intervention. Conclusion The prophylactic application of antibiotics in type Ⅰ incision surgery of inpatients in our hospital tends to be more reasonable after intervention,but there are still some problems. It is necessary to continue to strengthen the supervision of rational use of antibiotics for surgical prevention.
作者
杨利芳
李彩霞
YANG Lifang;LI Caixia(Department of Pharmacy,The Affiliated People’s Hospital of Inner Mongolia Medical University,Huhhot,Inner Mongolia,China 010020)
出处
《中国药业》
CAS
2019年第10期84-86,共3页
China Pharmaceuticals
基金
内蒙古医科大学科技百万工程(联合)项目[YKD2016KJBW(LH)024]
关键词
抗菌药物
Ⅰ类切口手术
预防性用药
临床药师
PDCA循环
合理用药
药房管理
antibiotics
type Ⅰ incision surgery
prophylactic medication
clinical pharmacists
PDCA cycle
rational drug use
pharmacy management
