持续干预措施对乳外科Ⅰ类切口手术抗菌药物使用情况的影响

Impact of continuous interventions on prophylactic use of antibiotics of patients undergoing typeⅠincision surgery in breast surgery department

目的了解持续干预措施对医院乳外科Ⅰ类切口手术围术期抗菌药物使用情况的影响。方法随机抽取2011-2015年4-6月5个阶段乳外科Ⅰ类切口手术病例各100份,调查比较围术期抗菌药物预防用药的情况。结果干预前,乳外科Ⅰ类切口手术围术期预防使用抗菌药物存在无指征用药、选药不合理、用药时机不合理、疗程过长、联合用药不当等突出问题,干预后,品种选择的合理率升高,使用率及24h内停用率均显著降低,联合用药情况大大改善。结论持续干预措施对促进医院乳外科Ⅰ类切口手术围术期抗菌药物的合理使用具有重大意义。

OBJECTIVE To understand the impact of continuous interventions on use of antibiotics during periopera- tire period of type I incision surgery in breast surgery department. METHODS Every 100 patients who underwent the type Ⅰ incision surgery in the breast surgery department in 5 stages from April to June in 2011-2015 were ran- domly extracted. The perioperative antibiotics prophylaxis was observed and compared. RESULTS There were the problems such as use of drugs without indications, inappropriate choice of drugs, unreasonable medication timing, prolonged medication course, and inappropriate combined use of drugs in the perioperative antibiotics prophylaxis for type Ⅰ incision surgery in the breast surgery department before the intervention. After the intervention, the rate of reasonable use of drugs was increased, both the utilization rate and the rate of stopping using drugs within 24 hours were remarkably decreased, and the status of combined use of drugs was significantly improved. CONCLUSION The continuous interventions have great significance in facilitating the reasonable use of antibiotics during the perioperative period of type Ⅰ incision surgery in the breast surgery department.