论文部分内容阅读
目的了解抗菌药物专项整治活动对医院抗菌药物使用情况的影响。方法每季度进行一次出院病历抽查点评,对抗菌药物使用率、Ⅰ类切口手术抗菌药物预防使用率、用药时机、用药疗程、预防及治疗用药的合理性等进行分析,比较第一季度(整治活动前)和第四季度(整治活动后)的情况差异。结果专项整治活动后医院Ⅰ类切口手术抗菌药物预防使用率明显下降,由100.00%降至43.24%;Ⅰ、Ⅱ类切口手术24h内停药比例明显增加,由0.79%上升至37.93%,疗程>3d的比例明显下降,由77.78%降至21.84%;预防用药合理和基本合理比例明显升高,由3.17%上升至50.57%,医院住院患者抗菌药物使用率在四季度达到了卫生部的要求。结论抗菌药物专项整治活动能够促进抗菌药物的合理应用。
Objective To understand the impact of anti-bacterial drug treatment activities on the use of antimicrobial agents in hospitals. Methods A quarterly review of discharge history records was conducted to analyze the use of antimicrobial agents, the prevention and treatment of antibacterials in type Ⅰ incision surgery, the timing of medication, the course of medication, the rationality of preventive and therapeutic drugs, and so on. The first quarter (remediation activities Before) and the fourth quarter (after remediation activities). Results After the special rehabilitative activities, the preventive and curative rate of class Ⅰ incision anti-bacterial drugs decreased significantly from 100.00% to 43.24%. The proportion of discontinued drugs within 24 hours of type Ⅰ and Ⅱ incisions increased significantly from 0.79% to 37.93% The proportion of 3d decreased significantly from 77.78% to 21.84%. The proportion of prophylactic and rational use of prophylaxis increased significantly from 3.17% to 50.57%. The utilization rate of antibacterials in hospitalized patients reached the requirements of Ministry of Health in the fourth quarter. Conclusion The special antimicrobial treatment activities can promote the rational use of antimicrobial agents.