内科及儿科抗菌药物临床应用干预效果评价
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范宗慧

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R181.3+2

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Intervention efficacy of antimicrobial clinical application in internal medicine and pediatrics departments
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    摘要:

    目的对某院内科及儿科抗菌药物临床应用情况进行干预,评价其干预效果。方法随机抽取该院内科及儿科2010年7月—12月1 880份病例作为对照组(干预前),2011年7月—12月2 207份病例作为实验组(干预后),比较两组患者抗菌药物使用情况。结果干预后各科室总抗菌药物使用率为48.12%,低于干预前的58.62%,差异有统计学意义(χ2=44.45,P<0.001)。除内分泌科、儿科、血液科外,其余各科室干预后抗菌药物使用率均明显低于干预前(均P<0.05)。干预前后内分泌科、血液科抗菌药物使用率均不高(<40%),符合卫生部相关要求。结论通过对抗菌药物临床应用的综合干预,降低了该院内科及儿科抗菌药物使用率。

    Abstract:

    ObjectiveTo explore intervention efficacy of clinical application of antimicrobial agents in internal medicine departments of a hospital. Methods1 880 medical records from internal medicine and pediatrics departments this hospital in JulyDecember 2010 were randomly selected as control group (before intervention), and  2 207 medical records in JulyDecember 2011 were as trial group (after intervention), antimicrobial use of two groups was compared. ResultsThe overall usage rate of antimicrobial agents after intervention was lower than before  intervention (48.12% vs  58.62%, χ2=44.45,P<0.001). Except endocrinology, pediatrics  and  hematology departments, the usage rates of antimicrobial agents in the other departments after intervention were all obviously lower than before  intervention(all P<0.05). The usage rate of antimicrobial agents in endocrinology and  hematology departments were both low(<40%), which met the requirements of Ministry of Health.ConclusionComprehensive intervention in clinical use of antimicrobial agents reduced the usage rate of antimicrobial agents in internal medicine and pediatrics departments in this hospital.

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李晓凤,刘立刚,祁玮,等.内科及儿科抗菌药物临床应用干预效果评价[J]. 中国感染控制杂志,2015,14(1):55-56. DOI:10.3969/j. issn.1671-9638.2015.01.014.
LI Xiaofeng, LIU Ligang, QI Wei, et al. Intervention efficacy of antimicrobial clinical application in internal medicine and pediatrics departments[J]. Chin J Infect Control, 2015,14(1):55-56. DOI:10.3969/j. issn.1671-9638.2015.01.014.

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  • 收稿日期:2014-07-06
  • 最后修改日期:2014-10-12
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  • 在线发布日期: 2015-01-31
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