13496例围术期抗菌药物预防使用的干预策略

Discussion on intervention strategies for 13 496 cases of prophylactic use of antibiotics during perioperative period

目的通过调查与反馈,干预院内围术期抗菌药物预防使用,提高围术期抗菌药物使用的合理性。方法定期抽查2005-2010年全院无感染征象的手术病例13 496例,与此同时采取各种干预措施,规范围术期抗菌药物预防使用。结果通过干预,全院抗菌药物带入手术室使用率明显上升,从51.19%上升至99.27%,上升了47.71%;Ⅰ类手术围手术期抗菌药物使用天数从平均6.29 d/例下降至3.30 d/例,平均下降2.99 d/例;抗菌药物使用级别合格率逐渐上升,从18.21%上升至74.70%,上升56.49%,医院感染率没有上升。结论制定明确的围术期抗菌药物使用要求,应用计算机后台管理系统,对监测数据进行科学的统计分析,深入临床的沟通和责任到人的考核,以及各级领导重视是提高围术期抗菌药物合理使用的关键。

OBJECTIVE To improve the rationality of use of antibiotics during perioperative period through investigation feedback and intervention of prophylactil use of antibiotics.METHODS Make a sample check in no signs of infection surgical cases at regular intervals from 2005 to 2010.After statistical analysis,we feedback the result and improvement request to the head of department and the president.we have statistical analysis 13 496 surgical cases without infection.RESULTS After intervention,the hospital antimicrobial usage increased obviously,the antibiosis using rate into the operating room rise from 51.19% to 99.27%,Ⅰ type of surgery perioperative antimicrobial usage days,shortened from average 6.29 days/cases to average 3.30 days/example.Antimicrobial usage levels rise gradually,from 18.21% to 74.70%,whole 56.49% rise.Hospital infection rates haven′t rise.CONCLUSION Formulating clear requirements of perioperative antimicrobial usage,using the computer network to back-stage management,statistical analysis the monitoring data scientifically,listening to the clinical opinions,examining to people,attaching importance by the leader are the keys of improving the perioperative antimicrobial drugs using.