本文選題：Ⅰ類手術(shù)切口 + 抗菌藥物　； 參考：《中華醫(yī)院感染學雜志》2017年16期

【摘要】：目的觀察監(jiān)測-培訓(xùn)-計劃法(MTP)聯(lián)合關(guān)鍵績效指標法(KPI)干預(yù)模式在兒童Ⅰ類手術(shù)切口預(yù)防使用抗菌藥物中的應(yīng)用效果,進一步規(guī)范抗菌藥物在圍手術(shù)期的合理使用。方法將2014年1-12月的344例Ⅰ類手術(shù)切口患兒納入對照組,2015年1-12月的456例Ⅰ類手術(shù)切口患兒納入干預(yù)Ⅰ組,2016年1-12月的426例Ⅰ類手術(shù)切口患兒納入干預(yù)Ⅱ組,根據(jù)對照組預(yù)防用抗菌藥物的點評結(jié)果,建立清潔手術(shù)預(yù)防用抗菌藥物的合理性評價指標(預(yù)防用藥率、選用抗菌藥物合理率、給藥時機合理率、用藥療程合理率和術(shù)后感染率),干預(yù)Ⅰ組采用MTP干預(yù)模式,干預(yù)Ⅱ組采用MTP-KPI干預(yù)模式,比較干預(yù)前后合理性評價指標的改善情況。結(jié)果通過MTP-KPI模式干預(yù),干預(yù)Ⅱ組Ⅰ類手術(shù)切口的預(yù)防用藥率為9.86%,低于對照組37.79%,低于干預(yù)Ⅰ組14.25%,差異有統(tǒng)計學意義(P0.05);干預(yù)Ⅱ組的選用抗菌藥物合理率、給藥時機合理率、用藥療程合理率分別為95.24%、95.24%、88.10%,高于對照組0.8%、75.31%、72.38%,高于干預(yù)Ⅰ組58.46%,90.77%,86.15%,同時腹外疝手術(shù)的預(yù)防用藥評價指標均有顯著改善;對照組、干預(yù)Ⅰ組、干預(yù)Ⅱ組的術(shù)后感染率分別為0.29%、0.44%和0.23%,差異無統(tǒng)計學意義。結(jié)論 MTP-KPI干預(yù)模式對提高Ⅰ類手術(shù)切口預(yù)防用抗菌藥物的合理性有顯著效果,可行性高。
[Abstract]:Objective to observe the effect of monitoring, training and planning (MTP) combined with key performance index (KPI) intervention model in preventing the use of antimicrobial agents in children with type I surgical incision, and to further standardize the rational use of antibiotics in perioperative period. Methods 344 children with type I incision from January to December 2014 were included in the control group, 456 children with type I incision from January to December 2015 were included in the intervention group, 426 children with type I incision from January to December 2016 were included in the intervention group. According to the evaluation results of prophylactic antimicrobial agents in the control group, the rational evaluation index of prophylactic antimicrobial agents for clean surgery was established (the rate of prophylactic use, the rational rate of selecting antimicrobial agents and the reasonable rate of timing of administration). The reasonable rate of course of treatment and the postoperative infection rate were compared between the intervention group 鈪，

本文編號：1786129