我院两种Ⅰ类切口手术预防用抗菌药干预效果调查

Observation of the Changes of Phylactic Application of Antibacterials in the Two Kinds of Type Incision Operation in our Hospital After the Implementation of a Series of Methods

目的:评价多项措施逐步实施后两种Ⅰ类切口手术(白内障手术、疝气修补术)预防用药情况的变化。方法:采用回顾性调查,对2012年前三季度出院的上述2种Ⅰ类切口手术病例抗菌药使用情况进行统计、分析。结果:多项措施逐步实施后,抗菌药种类的选择趋于合理;白内障术后抗菌药使用时间≤24 h的比例由0(1季度)提高到100%(3季度);两种手术的用药金额也随之下降;但仍与北京市卫生局的要求存在差距。结论:采取的干预措施有效、可行,但仍需加大力度,多方改进,以促进一步完善。

To evaluate the changes of phylactic application of antibacterials in the two kinds of typeⅠincision operation after a series of methods were implemented step by step.Methods;A retrospective analysis was carried out to statistically analyze of the use of antibacterials in the two kinds of Type I incision operations in the first three quarters of 2012.Results：After the implementation of a series of methods,the selection of antibacterial drug type tended to be reasonable, and the proportion of postoperative antimicrobial time≤24 h increased from 0（the first quarter） to 100%（the third quarter） in cataract operations.The average cost of antibacterials also decreased significantly.But there was still a big gap in accordance with the requirements of Beijing Health Bureau.Conclusion：Interventions were effective and feasible, but still greater efforts needed to be made to promote further perfection.