抗菌药物应用管理与成效分析    FREE
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田碧文

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R969.3

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Efficacy on the management of application of antimicrobial agents    FREE
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    摘要:

    目的探讨抗菌药物管理的有效途径,促进合理应用抗菌药物。方法制定抗菌药物使用实施细则,设立临床合理使用抗菌药物监督领导小组,定期进行质量控制及考核管理。比较管理前(2005年)及管理后(2007年)抗菌药物使用情况。结果通过对抗菌药物实施管理,抗菌药物使用率由83.34%下降至52.69%(χ2=608.81,P<0.001),预防用药率由49.23%下降至28.86%(χ2=252.31,P<0.001);围术期(术前0.5~2 h)用药率由83.14%下降至76.12%(χ2=94.51,P<0.001),手术前未用抗菌药物率由58.43%上升至73.00%(χ2=301.21,P<0.001);切口感染率由3.08%下降至2.34%(χ2=6.56,P<0.05)。结论通过对抗菌药物进行严格管理,抗菌药物使用率及预防用药率等显著下降,而切口感染率亦明显下降,取得较好效果。

    Abstract:

    ObjectiveTo study effective ways of management of antimicrobial agents, so as to  promote rational use  of antimicrobial agents.MethodsAntimicrobial application policy was made, a group of supervisors for rational use of antimicrobial  agents in clinic was set up, regular quality control and check was undertaken. Antimicrobial application before (2005) and after (2007) performing management was compared. ResultsThrough  performing management of antimicrobial agents, antimicrobial application rate dropped from 83.34% to 52.69%(χ2=608.81, P<0.001), prophylactic  application rate dropped from 49.23% to 28.86%(χ2=252.31, P<0.001); perioperative antimicrobial application rate(0.5~2 hours before operation) dropped from 83.14% to 76.12%(χ2=94.51,P<0.001), nonuse rate of antimicrobial agents before operation increased from 58.43% to 73.00% (χ2=301.21, P<0.001); surgical wound infection rate decreased from 3.08% to 2.34%(χ2=6.56, P<0.05). ConclusionThrough  strict management of antimicrobial agents, antimicrobial application rate and prophylactic  application rate decreased markedly, and surgical wound infection rate also decreased obviously.

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田碧文,何庭辉.抗菌药物应用管理与成效分析    FREE[J]. 中国感染控制杂志,2009,8(5):343-345.
TIAN Biwen, HE Tinghui. Efficacy on the management of application of antimicrobial agents    FREE[J]. Chin J Infect Control, 2009,8(5):343-345.

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  • 收稿日期:2009-02-24
  • 最后修改日期:2009-04-22
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  • 在线发布日期: 2009-09-30
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