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目的:评价我院对骨科围手术期抗菌药预防应用实施干预措施后的效果。方法:抽取干预措施实施前后本院骨科清洁手术病例各240例,对预防用药时间、抗菌药品种、联用情况、不合理应用情况、住院时间及费用对比与评价。结果:干预后,预防用药时机、抗菌药品种、联用情况等均有明显改进,而预防用药时间、住院时间及费用等项目略有降低。结论:实施合理用药干预措施可行、有效,但离卫生部要求还有较大差距。
Objective: To evaluate the effect of our hospital on the prevention and treatment of perioperative antibacterials in orthopedics. Methods: Before and after the implementation of intervention measures, 240 cases of orthopedic surgery were performed in our hospital respectively. The comparison and evaluation were made on the prophylactic medication time, antibacterial drugs, combined use, unreasonable application, hospitalization time and cost. Results: After the intervention, the time of preventive medication, the varieties of antimicrobial agents and combination were significantly improved, while the items such as preventive medication, hospitalization time and expenses slightly decreased. Conclusion: The implementation of rational drug interventions feasible and effective, but there is still a big gap between the requirements of the Ministry of Health.