抗菌药物专项整治活动对骨科抗菌药物使用的影响

Analysis of antibacterial use in the department of orthopedics after the antibacterial special rectification activity

目的了解开展抗菌药物临床应用专项整治活动后某三甲医院骨科抗菌药物使用情况,促进抗菌药物临床合理应用。方法采用回顾性分析方法,对医院骨科2011年8月后门诊抗菌药物处方比例、Ⅰ类切口手术预防用抗菌药物百分率、Ⅰ类切口手术预防用药人均用药天数、住院患者使用抗菌药物百分率及住院患者抗菌药物使用强度进行统计分析,并与专项整治活动前进行对比分析。结果较2011年7月前,骨科门诊患者抗菌药物处方比例下降81.43%;Ⅰ类切口手术抗菌药的合理使用情况得到改善,Ⅰ类切口手术预防用抗菌药物百分率下降24.46%,人均使用抗菌药天数下降60.4%;住院患者使用抗菌药物百分率下降15.60%,住院患者抗菌药物使用强度下降61.57%。结论专项整治活动后骨科抗菌药物合理使用取得阶段性成绩,但有些指标仍未达到要求,需进一步加大整治力度,促进临床合理使用抗菌药物。

Objective To investigate the condition of antibacterial use in a 3A grade hospital orthopedics after the antibacterial spe-cial rectification activity and to promote rational use of antimicrobial drugs in-clinical.Method Retrospective survey were performed to ana-lyze the ratio of antibacterial in outpatient prescriptions ,the prophylactic application ratio and the average days of antibacterial use in type Ⅰincision operation ,the ratio and the intensity of antimicrobial use in hospitalized patients from August of 2011 ,And comparative analysis with the former special rectification activity .Results Compared to July 2011 before,the ratio of antibacterial in outpatient prescriptions decreased 81.43%.The ratio of prophylactic antibacterial use in type Ⅰincision operation was improved significantly .the prophylactic application ratio decreased 24.46%and the average days of antibacterial use decreased 60.4%.The ratio of antibacterial use in inpatient prescriptions de-creased 15.60%,and the intensity of antimicrobial use in hospitalized patients decreased to 15.60%.Conclusion The special rectification promotes rational use of antibacterial in our department of orthopedics .However ,some parameters did not reach the target and further measures of rectification need to be developed to accelerate the rational use of antibacterial .