专项整治前后外科清洁手术抗菌药物预防性应用的调查研究

Investigation of prophylactic application of antibiotics agents in clean surgery before and after special management of antibiotics

目的调查分析抗菌药物专项整治活动前后外科清洁手术预防性抗菌药物的应用情况。方法调查我院2011年1月、2013年1月出院的293例外科清洁手术抗菌药物的使用情况,其中2011年1月为干预前组(145例),2013年1月为干预后组(148例);分析调查数据。结果清洁手术的抗菌药物使用率由60.00%下降至34.46%,抗菌药物联合用药情况从26.44%下降至零,抗菌药物选择的合理性从35.63%上升至51.85%。结论专项整治后外科清洁手术预防性应用抗菌药物合理率明显提高。

Objective To investigate the clinical preventive application of antibiotics in clean surgery before and after the special control of antimicrobial drugs. Methods The application of antibiotics was investigated in 293 cases, where patients underwent clean surgery and were discharged in Jan 2011 and Jan 2013. The patients discharged in Jan 2011（145 cases）were set as the group before intervention and the those discharged in Jan 2013（148 cases） were set as the group after intervention, respectively. And the obtained data were analyzed. Results The utilization rate of antibiotics decreased from 60.00% to 34.46%, the combination use rate of antibiotics decreased from 26.44% to 0, and the rationality rate of antibiotics choice increased from 35.63% to 51.85% after the special management.Conclusion There exits unreasonable prophylactic uses of antibiotics for the clean surgery. The special management of antibiotics has made a certain amount of achievement, and the rationality has been improved significantly.