本文選題：外科　切入點：抗菌藥物　出處：《中華醫(yī)院感染學雜志》2015年14期

【摘要】：目的了解干預前后外科各科室抗菌藥物臨床應用情況,評價干預措施效果,以提高抗菌藥物合理使用率。方法采用流行病學調(diào)查方法,將2010年7-12月2 508份出院病歷作為干預前組,2011年7-12月2 890份出院病歷作為干預后組,比較干預前后兩組患者抗菌藥物的使用率。結果干預前抗菌藥物使用率為80.9%、干預后為71.8%,二者差異有統(tǒng)計學意義(χ2=127.8,P0.05);圍術期抗菌藥物規(guī)范執(zhí)行率干預前為96.2%、干預后為98.6%,二者差異有統(tǒng)計學意義(χ2=11.4,P0.05);Ⅰ類切口手術預防性抗菌藥物使用率干預前為81.5%、干預后為63.6%,二者差異有統(tǒng)計學意義(χ2=14.6,P0.05)。結論采取的綜合性干預措施有效降低了外科各科室抗菌藥物的使用率,提高了圍術期抗菌藥物的規(guī)范執(zhí)行率,降低了Ⅰ類切口手術預防性抗菌藥物使用率。
[Abstract]:Objective to investigate the clinical application of antimicrobial drugs in surgical departments before and after intervention, and evaluate the effect of intervention measures to improve the rational utilization rate of antimicrobial agents. 2,508 discharge records from July to December 2010 were taken as pre-intervention group, and 2,890 discharge medical records from July to December 2011 were taken as post-intervention group. Results the utilization rate of antimicrobial agents before and after intervention was 80.9 and 71.8, respectively (蠂 ~ 2 / 127.8 / P 0.05), and the standard execution rate of antimicrobial drugs in perioperative period was 96.2g / g, respectively, compared with that before and after the intervention (蠂 ~ (2) 127.8p 0.05). 98.6, the difference between them was statistically significant (蠂 ~ 2 + 11.4m, P 0.05); the rate of utilization of prophylactic antimicrobial agents in type 鈪，

本文編號：1663714