外科护士在合理使用抗菌药物预防医院感染中的作用

Role of Surgical Nurses in Rational Use of Antibacterials to Prevent Nosocomial Infection

目的了解医院择期腹腔镜下胆囊切除术执行围手术期使用抗菌药物情况及外科护士在合理使用抗菌药物预防医院感染中的作用。方法对外科、手术室护士进行《浙江省抗菌药物临床合理应用指导方案》培训后,选择2006年1-6月在普外科住院并行胆囊切除的患者,了解使用抗菌药物情况。结果2006年施行的219例腹腔镜下行胆囊切除术,正确执行围手术期合理使用抗菌药物占96%;2005年同期无外科护士的干预,腹腔镜下行胆囊切除术执行围手术期合理使用抗菌药物的只仅占56%。结论有外科护士的参与,腹腔镜下胆囊切除执行围手术期合理使用抗菌药物成效显著。

OBJECTIVE To know the situation of antimicrobial application during laparoscopic cholecystectomy in hospital and the role of surgical nurses in rational use of antibacterials to prevent the nosocomial infection. METHODS To train surgical and operating room nurses on basis of Zhejiang provincial guide scheme on clinical rational use of antibacterials and chooses the patients of department of general surgery after cholecystectomy during Jan to Jun 2006 to know their antibacterial application. RESULTS From 219 cases after laparoscopic cholecystectomy during this period, 96% had rational use of antibacterials during perioperative period vs 56% in the same period of 2005 when were without surgical nurse intervention. CONCLUSIONS The active of surgical nurses is important to significantly elevate the efficacy of rational use of antibacterials during perioperative period.