某院1247例I类切口手术抗菌药物使用分析

The usage of antibiotics in 1,247 type I incision operation

目的对抗菌药物专项整治活动以来我院I类切口手术抗菌药物使用情况进行调查,为下一步管理提供参考。方法从病案系统中抽取2011年5月—2013年12月出院的I类切口手术病历1247例,分为专项整治前期(2011年),整治中期(2012年)及整治后期(2013年),对抗菌药物的预防使用率、预防使用疗程、合理性等进行统计分析。结果整治前、中、后期抗菌药物预防使用率分别为85.79%、75.71%和54.86%;抗菌药物预防使用不超过24h的比例分别为10.06%、33.69%和44.59%,合理率分别为31.98%、50.91%和52.34%。结论专项整治后期我院I类切口手术抗菌药物使用情况较整治前期有明显改善,但未达到专项整治活动的要求。

Objective To survey on the usage of antibiotics in type I incision operation since the antibacterial drug special rectification in our hospital so as to provide a reference for the management. Methods Extracted from the medical record system, 1,247 cases of medical records in type I incision operation from May 2011 to Decembber 2013 are divided into three groups according to the discharge date, to statistically analyze the usage rate of antibacterial agents, course of treatment, rationality and so on. Results The usage rates of antimicrobial agents in the early, middle and late stage were respectively 85.79%, 75.71% and 54.86%; the percentages of drug duration less than 24h were 10.06%, 33.69% and 44.59%; the rates of rationality were 31.98%, 50.91% and 52.34%. Conclusion Compared with the early stage of the special rectification, the usage of antibiotics in type I incision operation were improved in the late stage, but had not meet the qualification.