我院实施清洁手术患者抗菌药物合理使用管控成效分析

Analysis of Efficacy for Normalized Regulation of Antibiotic Used for Clean Operation in Our Hospital in 2018

目的:分析我院清洁手术抗菌药物规范使用管控措施成效,为我院调整抗菌预防用药规范性应用策略提供数据支持。方法:调取2018年9月~2019年2月清洁手术出院病历共1271份,统计分析抗菌预防用药数据。结果:调查管控前清洁手术病历662份,其中预防抗菌用药367份,抗菌预防用药比例为55.44%;管控后清洁手术病历609份,其中预防抗菌用药212份,抗菌预防用药比例为34.88%;管控前不合理抗菌预防用药比例为34.33%、疗程不适宜比例为20.67%,管控后上述数据分别下降至8.39%、21.12%。结论:通过医院抗菌管控政策的实施,我院清洁手术抗菌预防用药管理取得了一定成效。

Objective: To investigate the effectiveness of normalized regulation of antibiotic used for clean operation, and provide further reference for improvement. Method: Through analyzing 1271 cases of clean operation in hospital antibiotic analysis system dated from September 2018 to December February 2019, the obtained data was analyzed and stated for the use of antibiotic in it. Result: Before regulation, 367 cases out of 662 clean operation investigate used antibiotics, the usage rate was 55.44%;after regulation, the rate was 212 out of 609 of the same cases, or 34.88%. The rate of unreasonable antibiotic use was 34.33% before regulation, in which 20.67% had an unreasonable curative effect, and the rate mentioned above dropped 8.39% and 21.12% after regulation. Conclusion: The preventive use of antibiotic for clean operation was improved to certain extent after the regulation.