某院骨科患者抗菌药物整治前后使用情况的对比分析

Contrast of Clinical Usage of Antibacterial Agents in Inpatients of Orthopedics in a Hospital before and after Special Rectification

目的:分析和对比骨科患者抗菌药物专项整治前后使用的情况,为后续工作提供依据,以进一步促进抗菌药物的规范使用。方法:随机分别抽取2011年1—7月和2013年1—7月两时段间该院骨科出院患者病历700份,分析整治前、后骨科抗菌药物临床使用情况,并做一回顾性对比。结果:整治后骨科抗菌药物使用强度(AUD)下降明显,在抗菌药物品种的选择和围术期抗菌药物的使用方面成效显著。结论:经抗菌药物临床使用专项整治活动,骨科抗菌药物临床的使用水平得到明显提高,但仍存在不足,需进一步加大行政干预力度,使抗菌药物的使用更趋合理。

Objective： To analyse and contrast the clinical use and management of antibacterial agents in the orthopedics department based on the situation antibacterial agents special rectification, so as to provide the guidance to follow- up and to promote the standardized administration of antibacterial agents. Methods： A retrospective investigation was designed with a total of 700 randomly selected cases from the orthopedics department, by comparing the clinical applications of antibacterial agents between January 2011-July 2011 and January 2013-July 2013（before and after rectification activities）.Results： After the special rectification activities, the AUD decreased significantly, and significant progress has been made in the selection of antibacterial agents and the application in perioperative period. Conclusion： After the anti- bacterial agents special rectification, the clinical level of the application of antibacterial agents in the orthopedics department has been significantly improved, but there are still some shortcomings in the use of antibacterial agents. It should be perfected in future, to make the clinical application of antibacterial agents more rational.