规范清洁切口手术的预防使用抗菌药物

Application of Antibacterial Agents in Standardized Incision Cleaning in Operation

目的了解医院清洁(Ⅰ类)切口手术预防使用抗菌药物情况,为规范管理抗菌药物使用提供经验。方法回顾性分析医院2012年1月—2013年12月的9588例清洁(Ⅰ类)切口手术预防使用抗菌药物情况,分析抗菌药物使用率、规范使用率、不规范使用原因和同期清洁切口手术感染率。结果通过规范管理清洁切口手术预防使用抗菌药物,2013年与2012年比较,医院清洁切口手术抗菌药物预防使用率下降,规范使用率上升,清洁切口手术病例术后切口感染率下降。结论持续的规范管理清洁切口手术预防使用抗菌药物,有利于规范抗菌药物使用,提高医疗质量。

Objective： To learn about the situation of the application of antibacterial agents in protecting operation incision and provide reference for the standardized management of antibacterial agents. Method： The authors make retrospective analysis on 9,588 cases of this type from January to December,2012,the application rate of antibacterial agents,the rate of standardized application,and the causes for irregular use and infecting rate of the synchronic incision. Result：The application rate of antibacterial agents for operation incision reduced w ith standardized management compared w ith2013 and 2012,the standardized application rate increases,and the infecting rate after operation decreases（ 0. 39% VS1. 12%,P = 0. 01）. Conclusion： The sustainable application of antibacterial agents benefits the standardized agent use and the improvement of medical quality.