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临床药师干预后骨科Ⅰ类切口手术围术期预防性使用抗菌药物分析

段小云

中国医院用药评价与分析Issue(12):1108-1110,3.
中国医院用药评价与分析Issue(12):1108-1110,3.DOI:10�14009/j.issn.1672-2124.2014.12.018

临床药师干预后骨科Ⅰ类切口手术围术期预防性使用抗菌药物分析

Effects of Clinical Pharmacist s Intervention on Perioperative Use of Prophylactic Antibiotics in Patients Undergoing Orthopedic Type Ⅰ Incision Operation

段小云1

作者信息

  • 1. 四川省骨科医院药剂科,成都 610041
  • 折叠

摘要

Abstract

OBJECTIVE: To investigate the effects of clinical pharmacist�s intervention on perioperative prophylactic use of antibiotics in patients undergoing orthopedic type Ⅰ incision operation. METHODS: The perioperative use of prophylactic antibiotics in a total of 178 patients undergoing orthopedic surgery in Sichuan Provincial Orthopedic Hospital( hereinafter referred to as“our hospital”) from the first to the fourth quarter of 2013 was analyzed retrospectively and the rationality in antibiotic use in the first quarter vs. the fourth quarter was analyzed as well. RESULTS:The rates in prophylactic use, antibiotic use in the absence of indications, irrational choice of drugs, irrational preoperative medication time and postoperative course of medication decreased respectively from the 8�64%, 31�82%,23�08%,15�38% and 1�5 days of the first quarter to 64�44%,24�44%,0%,3�93% and 1�3 days of the fourth quarter respectively ( P = 0�01 , 0�44 , 0�00 , 0�04 and 0�01 respectively ) . CONCLUSIONS: Clinical pharmacists� pharmaceutical care and intervention contributed to improvement of the irrational use of drugs.

关键词

骨科/Ⅰ类切口手术/围术期/抗菌药物/临床药师干预

Key words

Orthopedic/TypeⅠincision operation/Perioperative period/Antibiotics/Clinical pharmacist�s intervention

分类

医药卫生

引用本文复制引用

段小云..临床药师干预后骨科Ⅰ类切口手术围术期预防性使用抗菌药物分析[J].中国医院用药评价与分析,2014,(12):1108-1110,3.

中国医院用药评价与分析

1672-2124

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