中国药房2012,Vol.23Issue(18):1656-1658,3.DOI:10.6039/j.issn.1001-0408.2012.18.10
荆门地区19家医院Ⅰ类切口手术围术期预防用抗菌药物干预研究
Intervention Study on Perioperative Prophylactic Application of Antibiotics in Type Ⅰ Incision Surgery in 19 Hospitals from Jinmen Area
摘要
Abstract
OBJECTIVE: To strengthen the perioperative prophylactic application and management of antibiotics in hospitals from Jinmen area. METHODS: 3027 medical records of type I incision surgery (thyroid, breast, abdominal external hernia) were collected from 19 hospitals in Jinmen area during Apr. -Sept. in 2010 and 2011 retrospectively. 1489 medical records during Apr.-Sept. 2010 were included in before intervention group (group A), and 1 538 medical records during Apr.-Sept. 2011 were included in after intervention group (group B). The reasonability of antibiotics use, average hospitalization stay and cost were analyzed statistically in 2 groups. RESULTS: Compared with group A, the utilization ratio of antibiotics in group B decreased, the delivered rate of the etiology specimens, the reasonability of type selection of antibiotics, reasonable rate of medication time and proportion of single drug increased significantly, but average treatment course, average hospitalization stay and hospitalization cost per capita decreased (P<0.05). There was no statistical significance in post-operation infection rate between 2 groups (P>0.05). CONCLUSION: After intervention, the perioperative prophylactic application of antibiotics in type I incision surgery from the hospitals of this area tends to be scientific, reasonable and standard, and medical cost decreases significantly.关键词
荆门地区/Ⅰ类切口手术/围术期/干预对比Key words
Jinmen area/ Type I incision surgery/ Perioperative/ Intervention comparison分类
医药卫生引用本文复制引用
廖秋霞,刘晨晖,李扬华,李昌海,张松柏,肖光雄,邵寅,胡耀梅..荆门地区19家医院Ⅰ类切口手术围术期预防用抗菌药物干预研究[J].中国药房,2012,23(18):1656-1658,3.基金项目
荆门市科技研究重点资助项目(2011S35) (2011S35)