中国感染控制杂志2016，Vol.15Issue(4)：234-237,4.DOI:10.3969/j.issn.1671-9638.2016.04.004
关节镜手术围手术期抗菌药物应用的干预效果
Intervention efficacy of perioperative antimicrobial use in arthroscopic surgery
摘要
Abstract
Objective To investigate perioperative antimicrobial prophylaxis in arthroscopic surgery in a hospital before and after intervention,evaluate intervention efficacy,and provide evidence for the rational clinical antimicro-bial application.Methods From August 2012,measures were taken to intervene perioperative antimicrobial use, perioperative antimicrobial use and surgical site infection(SSI)in 312 patients undergoing arthroscopic surgery be-tween September 2011 and August 2013 were retrospectively surveyed.Results A total of 312 patients were investi-gated,pre-and post-intervention were 150 and 162 cases respectively,SSI rates were both 0 before and after inter-vention. Antimicrobial usage rate after intervention was lower than before intervention (26.54% vs 100.00% ,χ2=1.781,P<0.001). Irrational antimicrobial use dropped obviously;average expense of antimicrobial agents dropped from (1165.69±756.33)yuan (RMB)before intervention to (32.71 ±119.29)yuan (RMB)after intervention (t= 3.330,P<0.001).Conclusion Perioperative antimicrobial usage rate in arthroscopic surgery at this hospital decreased significantly after intervention,rational use of antimicrobial agents has improved,SSI rate still remains zero.关键词
关节镜手术/围手术期/抗菌药物/切口感染/医院感染/干预Key words
arthroscopic surgery/perioperative period/antimicrobial agent/surgical site infection/healthcare-asso-ciated infection/intervention分类
医药卫生引用本文复制引用
曾翠,吴安华..关节镜手术围手术期抗菌药物应用的干预效果[J].中国感染控制杂志,2016,15(4):234-237,4.基金项目
湖南省科技厅项目(2012SK3200) （2012SK3200）
