多点监督干预Ⅰ类切口手术预防用药的效果观察

Multi-point monitoring of preventive medication during perioperative period of type Ⅰ incision surgery

目的探索有效的手术预防用药管理办法。方法采用前瞻性研究方法,观察2010年1-12月通过增加用药环节问责点对Ⅰ类切口手术预防用药的干预效果。结果 1年中Ⅰ类切口手术共2532例,正确用药时机比例较干预前有明显的升高,12月份与1月份相比,由10.71%升至55.86%(P<0.01),正确用药品种比例和用药时间虽也有改善,但差异无统计学意义。结论多点监督有助于改善手术预防用药,尤其是改善预防用药的给药时机,但预防用药管理还需进一步加强。

OBJECTIVE To explore the useful management of preventive antibiotic application during perioperative period. METHODS The data of all preventive antibiotic application during perioperative period of type Ⅰ incision surgeries in 2010 under multi-point monitor were prospectively collected and analyzed. RESULTS A total of 2532 cases of type Ⅰ incision surgery were implemented in 1 year.The percentage of antibiotic application at proper time was higher and higher by increasing from 10.71% in Jan.to 55.86% in Dec.（P0.01）.The percentages of reasonable antibiotic type and antibiotic application time were also improved,but the difference has no statistical significance. CONCLUSION The multi-point monitor can improve the reasonable preventive medication during peioperative period,especially themedication time.However,the management of preventive medication should be further improved.