剖宫产围术期抗菌药物的使用干预与分析

Analysis on the Intervention on Perioperative Use of Antibiotics in Patients Undergoing Cesarean Section

目的:通过药学干预,规范剖宫产围术期抗菌药物的使用,以促进合理用药。方法:通过干预前后病例抽查内容进行比较与分析,对抗菌药物的使用品种及频次、给药时机、用药时间、给药次数逐一统计。结果:干预后,围术期抗菌药物使用在给药时机、给药次数方面有了很大提高,趋于合理。用药时间在2～3d也有提高,但提高的力度还不够。结论:我院剖宫产围术期预防性应用抗菌药物基本合理。但在某些方面,如用药时间偏长、用药品种选择上需要继续改进,选择更理想的用药方案。

OBJECTIVE：To standardize perioperative use of antibiotics in patients undergoing cesarean section through pharmacy intervention in order to promote rational drug use.METHODS：The patients before and after intervention were compared analytically in respect of the species and utilization frequency of antimicrobials,timing and time of medication and frequency of administration etc.RESULTS：After intervention,great improvement was noted in the timing of medication and frequency of perioperative administration of antimicrobial agents which became more rational.There was also improvement in drug use for patients receiving antibiotics for 2～3 days,but the intensity of the improvement was not enough.CONCLUSION：The perioperative use of antibiotics in patients undergoing cesarean section in our hospital was rational on the whole,yet it is far from perfect such as the medication time is too long and the choice of drugs is inappropriate which remains to improved so as to choose optimal therapeutic scheme.