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目的:提高医院抗菌药物临床应用的管理和监控效果。方法:探索抗菌药物的分级管理、围手术期使用、处方点评、监控等方面的信息化管理。结果:抗菌药物的处方使用比例不断下降,Ⅰ类切口手术预防用抗菌药物的比例、时间等趋于规范和合理,抗菌药物的监控更及时、有效。结论:及时、有效地规范瑞金医院抗菌药物临床应用,抗菌药物使用趋于合理,医疗资源有效地下降,大大提高了药事工作效率与管控效果。
Objective: To improve the clinical management and monitoring of antimicrobial agents in hospitals. Methods: To explore the classified management of antimicrobial agents, perioperative use, prescription reviews, monitoring and other aspects of information management. Results: The proportion of prescriptions for antimicrobial drugs kept declining. The proportion and time of antibacterials used for class Ⅰ incision surgery tended to be standardized and reasonable. The monitoring of antibacterials was more timely and effective. Conclusion: It is timely and effective to standardize the clinical application of antimicrobial agents in Ruijin Hospital. The use of antimicrobial agents tends to be rational and the medical resources are effectively reduced, greatly improving the work efficiency and control effect of the medicine.