Ⅰ類手術(shù)患者圍術(shù)期抗菌藥物應(yīng)用目標(biāo)性監(jiān)測(cè)分析
發(fā)布時(shí)間：2018-12-12 23:00
【摘要】：目的探討甲狀腺、乳腺Ⅰ類手術(shù)患者圍術(shù)期實(shí)施醫(yī)院感染目標(biāo)監(jiān)測(cè)對(duì)降低抗菌藥物使用的效果。方法分別選取2010年1-9月甲狀腺、乳腺手術(shù)患者497例作為對(duì)照組,2010年10月-2013年11月511例為觀察組,自2010年10月起由醫(yī)院感染科與藥學(xué)部聯(lián)合對(duì)患者圍術(shù)期抗菌藥物使用進(jìn)行調(diào)查,統(tǒng)計(jì)兩組患者聯(lián)合用藥,并記錄兩組患者術(shù)前、術(shù)后用藥時(shí)間以及感染發(fā)生率,數(shù)據(jù)采用SPSS13.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果觀察組患者采取一聯(lián)用藥占88.65%,明顯高于對(duì)照組59.36%,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組患者發(fā)生手術(shù)部位感染28例占5.48%,對(duì)照組為45例占9.05%,觀察組明顯少于對(duì)照組;所有觀察組患者均在術(shù)前30min~2h使用抗菌藥物,而對(duì)照組患者中術(shù)前用藥時(shí)間2h有83.50%;觀察組患者術(shù)后用藥時(shí)間≥3d占3.84%,明顯小于對(duì)照組82.29%的比例,上述兩組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論通過醫(yī)院感染目標(biāo)性監(jiān)測(cè)可有效降低甲狀腺、乳腺圍術(shù)期抗菌藥物的多聯(lián)應(yīng)用,縮短用藥時(shí)間,并降低感染發(fā)生率,有效保證了抗菌藥物合理應(yīng)用。
[Abstract]:Objective to investigate the effect of nosocomial infection target monitoring in patients undergoing thyroid and mammary gland type I surgery on reducing the use of antimicrobial agents. Methods 497 patients with breast surgery were selected as control group from January to September 2010, and 511 patients from October 2010 to November 2013 were selected as observation group. Since October 2010, the hospital infection department and the pharmacology department have carried on the investigation to the patient perioperative period antibiotic use, the statistics two groups patient union medicine, and records the two groups patient before and after the medication time, the infection rate, The data were analyzed by SPSS13.0 software. Results the patients in the observation group were treated with a single drug, accounting for 88.65%, which was significantly higher than that in the control group (59.36). The difference between the two groups was statistically significant (P0.05). There were 28 cases of operative site infection in the observation group and 45 cases in the control group (5.48%, 9.05%), which were significantly less in the observation group than in the control group. All the patients in the observation group were treated with 30min~2h before operation, while the patients in the control group were treated for 83.50 hours before operation. The treatment time 鈮，
本文編號(hào)：2375391
[Abstract]:Objective to investigate the effect of nosocomial infection target monitoring in patients undergoing thyroid and mammary gland type I surgery on reducing the use of antimicrobial agents. Methods 497 patients with breast surgery were selected as control group from January to September 2010, and 511 patients from October 2010 to November 2013 were selected as observation group. Since October 2010, the hospital infection department and the pharmacology department have carried on the investigation to the patient perioperative period antibiotic use, the statistics two groups patient union medicine, and records the two groups patient before and after the medication time, the infection rate, The data were analyzed by SPSS13.0 software. Results the patients in the observation group were treated with a single drug, accounting for 88.65%, which was significantly higher than that in the control group (59.36). The difference between the two groups was statistically significant (P0.05). There were 28 cases of operative site infection in the observation group and 45 cases in the control group (5.48%, 9.05%), which were significantly less in the observation group than in the control group. All the patients in the observation group were treated with 30min~2h before operation, while the patients in the control group were treated for 83.50 hours before operation. The treatment time 鈮，
本文編號(hào)：2375391
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