中国感染控制杂志Issue(3)：202-204,210,4.DOI:10.3969/j.issn.1671-9638.2015.03.014
某三甲医院抗菌药物临床应用专项整治活动效果分析
Effectiveness of special rectification activity on clinical antimicrobial use in a tertiary first-class hospital
周陶友 1陈相军 1管玫 1李念 1刘芳 1于磊 1黄应德 1陈敏1
作者信息
- 1. 四川大学华西医院，四川 成都 610041
- 折叠
摘要
Abstract
Objective To investigate the application of antimicrobial agents in a tertiary first-class hospital before and after implementing special rectification activity on clinical antimicrobial use.Methods Data about antimicrobial use in a hospital in Sichuan Province between January 2011 and December 2013 were collected and analyzed retro-spectively,data included antimicrobial varieties,the ratio of antimicrobial prescription in outpatient department to emergency department,percentage of antimicrobial application expense in the total hospitalization expense,antimi-crobial use rate and use density,antimicrobial use rate and use density of special use antimicrobial agents,microbial detection for patients receiving restricted and special antimicrobials.Results Before implementing rectification of an-timicrobial use,there were 88 kinds of antimicrobial agents in hospital,after implementing rectification,there were 50 kinds of antimicrobial agents.The ratio of antimicrobial prescription in outpatient department to emergency de-partment,and the percentage of antimicrobial expense in the total hospitalization expense were both lower than be-fore rectification (both P <0.05 ).Antimicrobial use rate and antimicrobial use rate of special use antimicrobial agents before and after rectification were all statistically different(all P <0.05).Compared with before rectification, microbial detection rate of specimens from patients receiving restricted and special use antimicrobial agents improved significantly (both P <0.05 ).Perioperative antimicrobial prophylactic use rate in patients with class Ⅰincisional operation after rectification was lower than before rectification,while percentage of antimicrobials used 30 min-2 h before operation was higher than before rectification (both P <0.05).Conclusion After three year special rectifica- <br> tion,antimicrobial use become more rational,but management still needs further and continuous improvement.关键词
抗菌药物管理/抗菌药物使用强度/三甲医院/合理用药/围手术期Key words
antimicrobial management/antimicrobial use density/tertiary first-class hospital/rational drug use/perioperative period分类
医药卫生引用本文复制引用
周陶友,陈相军,管玫,李念,刘芳,于磊,黄应德,陈敏..某三甲医院抗菌药物临床应用专项整治活动效果分析[J].中国感染控制杂志,2015,(3):202-204,210,4.
