妇产科围术期预防用抗菌药物干预前后的对比分析

Contrastive Analysis on Prophylactic Use of Antimicrobial Drugs in Perioperative Period of Obstetrics and Gynecology Operations before and after Intervention

目的:分析妇产科围术期预防用抗菌药物干预前后情况,并作一对比。方法:选择2011年1—6月间妇产科I、II类手术病历230份作为非干预组;在进行一系列干预措施后,另选取2013年1—6月妇产科I、II类手术病历230份作为干预组;分析2组抗菌药物的使用情况。结果:I类切口手术预防性抗菌药物的使用率由干预前的100%降至干预后的40%,抗菌药物的合理用药率也由干预前的15.22%上升至72.41%;干预前围术期预防用抗菌药存在的主要问题,在干预后均有较好的控制。结论:实施的干预措施对规范妇产科围手术期抗菌药物的合理使用起到了积极的作用,但仍存在一定问题,有待进一步规范。

Objective： To analyze the preventive use of antibiotics before and after the intervention of the obstetrics and gynecology operation during perioperative period in Department of Obstetrics and Gynecology, and to contrast the curative effects. Methods： During January to June 2011 Obstetrics and Gynecology 230 cases of I, II class were selected as a non-surgical medical intervention group. After conducting a series of interventions, the others were selected from January to June 2013 Obstetrics and Gynecology 230 cases of I, II class as a medical surgical intervention. The antimicrobial applications were analysed. Results： The use rate of preventive antibiotics in Class I incision surgery was decreased from before the intervention 100% to 40% after intervention, and the rational use rate of antimicrobial drugs also increased from 15.2% before the intervention to 72.4%. The major problems with antibiotic prophylaxis before the intervention of perioperative had better control after the intervention. Conclusion： The implementation of interventions in our department has played a positive role in regulating the rational use of antimicrobial in obstetrics perioperative period, but there are still some problems that need to be solved.