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干预前、后骨科Ⅰ类切口手术围术期预防性应用抗菌药物分析

韩世妮 王惠霞

中国医院用药评价与分析Issue(1):61-63,64,4.
中国医院用药评价与分析Issue(1):61-63,64,4.DOI:10.14009/j.issn.1672-2124.2015.01.020

干预前、后骨科Ⅰ类切口手术围术期预防性应用抗菌药物分析

Analysis of Prophylactic Antibiotic Use in Orthopedics Patients Undergoing Type Ⅰ Incision Operation before and after Intervention

韩世妮 1王惠霞2

作者信息

  • 1. 兰州市第二人民医院骨科,兰州 730046
  • 2. 兰州市第二人民医院药剂科,兰州730046
  • 折叠

摘要

Abstract

OBJECTIVE:To evaluate the intervention outcome on prophylactic use of antibiotics for orthopedic patients undergoing typeⅠincision surgery and the role of clinical pharmacists in the management of prophylactic use of antibiotics .METHODS:Clinical pharmacists were involved in the management of on prophylactic use of antibiotics for orthopedic patients undergoing typeⅠincision surgery .The medical records of the orthopedic patients undergoing type Ⅰincision surgery were reviewed before and after intervention ( first and second stage of intervention ) for evaluation of the rationality of the antibiotic use and comparative analysis regarding the prophylactic antibiotic use .RESULTS:Compared with pre-intervention ,usage rate of antibiotis dropped from 98.56%to 28.96%after second stage intervention ,decreasing by 70.63%; AUD declined from 96.31 DDDs/( 100 persons· day ) to 32.18 DDDs/( 100 persons· day ) , decreasing by 66.59%.The choice of varieties , delivering timing and duration of antibiotics were rational .CONCLUSIONS: The involvement of clinical pharmacists in the management of prophylactic use of antibiotics for orthopedic patients undergoing typeⅠincision operation effectively contributed to standardization and rational use of antibiotics .

关键词

临床药师/骨科/Ⅰ类切口手术/抗菌药物/临床应用管理

Key words

Clinical pharmacist/Orthopedics/TypeⅠincision surgery/Antibiotics/Management on clinical use

分类

医药卫生

引用本文复制引用

韩世妮,王惠霞..干预前、后骨科Ⅰ类切口手术围术期预防性应用抗菌药物分析[J].中国医院用药评价与分析,2015,(1):61-63,64,4.

中国医院用药评价与分析

1672-2124

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