發(fā)布時(shí)間：2018-01-25 21:03

  本文關(guān)鍵詞： Ⅰ類切口手術(shù) 圍手術(shù)期 抗菌藥物 預(yù)防使用 綜合干預(yù)　出處：《中華醫(yī)院感染學(xué)雜志》2015年11期 　論文類型：期刊論文

【摘要】：目的通過專項(xiàng)整治活動(dòng),改進(jìn)基層醫(yī)院外科Ⅰ類切口手術(shù)患者圍手術(shù)期抗菌藥物預(yù)防使用。方法選擇整治前的2011年1-6月Ⅰ類切口手術(shù)患者整治前225例和整治后的2014年1-6月醫(yī)院普外科Ⅰ類切口手術(shù)患者419例,回顧性分析其圍手術(shù)期抗菌藥物預(yù)防使用率、品種選擇合理率、預(yù)防使用時(shí)間≤24h符合率及手術(shù)切口感染率,數(shù)據(jù)采用SPSS13.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果整治前圍手術(shù)期抗菌藥物預(yù)防使用率為68.89%,整治后下降為14.32%,差異有統(tǒng)計(jì)學(xué)意義(P0.05),整治前、后全部手術(shù)病例均為單用抗菌藥物,無聯(lián)合用藥;抗菌藥物預(yù)防使用時(shí)間24h符合率整治前、后分別為69.68%和91.67%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);手術(shù)部位感染率整治前、后分別為0.44%和0.48%,差異無統(tǒng)計(jì)學(xué)意義。結(jié)論采取綜合干預(yù)措施開展專項(xiàng)整治,對(duì)改進(jìn)基層醫(yī)院外科Ⅰ類切口手術(shù)圍術(shù)期抗菌藥物預(yù)防使用有一定提升作用,不增加手術(shù)部位感染率。
[Abstract]:Objective to adopt special treatment activities. To improve the perioperative antibiotic prophylaxis and use of antibiotics in patients undergoing surgical class I incision operation in primary hospital. Methods 225 patients with class I incision operation before treatment and 2014 after treatment were selected from 2011 to June. From January to June, 419 patients with type I incision in general surgery department in our hospital were treated. The utilization rate of antimicrobial agents in perioperative period, the reasonable rate of variety selection, the coincidence rate of prevention and use time 鈮，

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