某三甲医院Ⅰ类切口手术围术期预防用药情况分析

Preventive Use of Antibiotics during Perioperative Period of Type Ⅰ Incision Operations in a Level-3 Grade-A Hospital

目的调查研究成都医学院第一附属医院Ⅰ类切口手术围术期抗菌药物预防用药情况在专项整治前后的变化,为进一步规范抗菌药物在围术期预防性使用提供科学依据及改进方向。方法抽取该院2011年5月—2015年12月期间Ⅰ类切口手术病历,将2011年5月—2012年7月归为干预前期,2012年8月—2013年12月归为干预期,2014年1月—2015年12月归为持续干预期,比较3个时期抗菌药物在围术期预防性应用的合理性,并对经干预后围术期抗菌药物使用合理性仍不理想的几种手术进行单独分析。结果该院Ⅰ类切口手术围术期预防使用抗菌药物有了明显的持续改进,但仍有一定的进步空间;3类重点监管手术总体控制可,但在预防用药品种选择和预防用药时机选择上仍存在一些问题。结论为了改善Ⅰ类切口手术围术期预防使用抗菌药物的合理性,可以进一步加强信息化管理手段、改进人员培训模式、借鉴ISO 9000标准体系来提高管理水平。

Objective To investigate the changes in preventive use of antibiotics during perioperative period of type I incision operation in the Affiliated Hospital to Chengdu Medical College before and after Special Rectification.Methods The case data of type I incision operations during the period from May,2011 to Dec.,2015 were collected and were grouped into 3： early intervention phase of Special Rectification,intervention phase and continued intervention period; statistical analysis was made to the preventive use of antibiotics during perioperative period of type Ⅰ incision operations in the 3 phases.Results The preventive use of antibiotics during perioperative period of type I incision operation was keeping improved while there existed the necessity for further improvement; the total control in the key-focused 3 kinds of operation was effective while there existed some problems of selection of drugs and the timing of medication.Conclusions Further information managing measures should be taken,and ISO 9000 Standard System is of help in raising the management level; more attention should be paid in improving talent structure and training.