| 摘要: |
| 目的 为规范医院围手术期抗菌药物预防性应用、探索合理干预措施管理提供依据。方法 通过医院感染监测系统，调取2013年3月、5月医院外科手术病历728例作为非干预组；调取2013年10月、2014年1月全院外科手术病例742例作为干预组。通过各项指标分析比较干预前后围手术期预防性使用抗菌药物情况。结果 开展围手术期抗菌药物临床应用专项整治活动后，Ⅰ类切口手术抗菌药物使用率由100%降至31.66%，围手术期抗菌药物使用率由100%降至59.03%，且术后切口部位感染并未出现增长。术前0.5～2h用药率由整治前的81.59%升高至100%（P ＜0.05)。专项整治后围手术期预防应用抗菌药物时长由5.72天降至1.56天。整治后围术期抗菌药物合理应用明显提高。结论 医院开展围手术期抗菌药物预防应用专项整治取得明显成效。 |
| 关键词: 医院等级评审 围手术期 抗菌药物 合理用药 |
| DOI： |
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| 基金项目: |
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| Effect Evaluation of Hospital Accreditation in Antibiotic Prophylaxis in Perioperative Period |
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| Abstract: |
Objective In order to regulate hospital antimicrobial prophylaxis in the perioperative period, to provide a basis to explore reasonable intervention management. Method Through the monitoring software of hospital infection in March, May, 2013, the medical records of 728 cases of surgical operation were selected as non intervention group; in October, 2013, January, 2014, the surgical operation for 742 cases were selected as the intervention group. Doing the analysis of indexes of perioperative period before and after the intervention of the prophylactic use of antibiotics. Result Perioperative period antibiotic drugs special rectification activities, type I incision operation of antibiotics use rate dropped from 100% to 31.66%, perioperative period antibiotic use rate dropped from 100% to 59.03% after the renovation, and there was not increase surgical site infection and postoperative. Preoperative 0.5～2h medication rate increased from 81.59% before the renovation to 100% (P <0.05). Remediation activities around the front operation period antibiotic prophylaxis decreased from 5.72 days to 1.56 days. After the treatment of perioperative, the rational use of antimicrobial agents was significantly improved.Conclusion Perioperative period antibiotic prophylaxis application achieved a remarkable success in the hospital. |
| Key words: hospital level accreditation,perioperative period,antibacterial medicine,rational drug use |
