抗菌药物临床应用专项整治前、后I类切口手术预防用药调查分析

Preventive medication for surgery with category I incision before and after special management ofantibacterial agents

目的了解开展抗菌药物临床应用专项整治活动前、后，本院外科3种I类切口手术预防用药情况，定量评估抗菌药物临床应用专项整治活动所取得的实效。方法对本院2011年1月至6月（专项整治前）和7月至12月（专项整治后）外科3种I类切口手术预防用药情况进行调查分析。结果抗菌药物临床应用专项整治前、后，3种I类切口手术患者预防用药比例分别为94．6％和43．5％，品种选择合理率分别为74．1％和98．0％，用药时机合理率分别为13．4％和98．1％，疗程合理率分别为6．9％和68．9％，没有联合用药。结论深入开展抗菌药物临床应用专项整治活动后，3种I类切口手术预防用药水平有了很大的提高，但仍存在问题，须继续整改提高。

Objective To study the status of preventive medication for 3 types of category I incision before and after special management of antibacterial agents and to assess the effect of the management. Methods A survey on the status of preventive medication for 3 types of category I incision during the periods of January 2011 to July 2011 and July 2011 to December 2011 was conducted. Results The rate of preventive medication was 94.6% before speical manage- ment of antibacterial agents was enacted and declined to 43.5% after management ; the rates of reasonable choice of medicines 74.1% and 98.0%, respectively; the rates of reasonable timing for medication were 13.4% and 98.1%, respectively; the rates of reasonable courses of therapy were 6.9% and 68.9%, respectively. No combination therapy was found. Conclusions After enactment of special management of antibacterial drugs, the level of preventive medication for 3 types of category I incision is improved greatly. However, some problems for medication still exist, which need to be solved.