综合干预对清洁切口手术预防使用抗菌药物的影响
作者:
作者单位:

作者简介:

覃金爱

通讯作者:

中图分类号:

R181.3+2

基金项目:

广西壮族自治区卫生厅课题—I类切口围术期抗菌药物应用管理的持续改进(桂卫Z2013101)


Effect of comprehensive intervention on antimicrobial prophylaxis in clean incision surgery
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 文章评论
    摘要:

    目的探讨综合干预对某院清洁切口手术围手术期预防使用抗菌药物的影响。方法2011年起对该院清洁切口手术病例进行综合干预,比较2011—2013年抗菌药物预防使用情况。结果2011—2013年共调查清洁切口手术5 945 例,预防用药3 827例,抗菌药物预防使用率为64.37%。2011—2013年抗菌药物预防使用率依次为84.95%、69.99%、52.97%;给药时机正确率依次为50.97%、79.99%、98.95%;各组比较,差异均有统计学意义(χ2值分别为380.94、827.02,均P<0.001);预防使用抗菌药物病例中使用时间≤24 h的病例数所占比率分别为24.91%、39.96%、64.95%;术中追加使用抗菌药物落实率分别为50.00%、60.00%、80.00%,各组比较,差异均有统计学意义(χ2值分别为422.55、59.47,均P<0.001)。结论实施综合干预措施,可规范抗菌药物的使用,降低抗菌药物的预防使用率,提高给药时机正确率,缩短抗菌药物预防使用时间,落实术中抗菌药物的追加使用。

    Abstract:

    ObjectiveTo evaluate the effect of comprehensive intervention on perioperative antimicrobial prophylaxis in clean incision surgery in a hospital.MethodsFrom 2011, clean incision surgery cases were performed comprehensive intervention, antimicrobial use in 2011-2013 were compared.ResultsA total of 5 945 cases of clean incision surgeries were investigated between 2011 and 2013, 3 827 cases (64.37%) received prophylactic use of antimicrobial agents. Prophylactic antimicrobial usage rates in 2011-2013 were 84.95%, 69.99%, and 52.97% respectively(χ2=380.94, P<0.001);the correct rates of medication time were 50.97%, 79.99%, and 98.95% respectively(χ2=827.02, P<0.001);the percentages of prophylactic antimicrobial use ≤24 hours were 24.91%,39.96%, and 64.95% respectively(χ2=422.55,P<0.001);additional antimicrobial usage rates during surgery were 50.00%, 60.00%, and 80.00% respectively(χ2=59.47,P<0.001).ConclusionThe implementation of comprehensive intervention measures can standardize antimicrobial use, reduce prophylactic antimicrobial usage rate, improve the correct rate of medication time, shorten the duration of antimicrobial use, and implement additional use of antimicrobial agents during surgery.

    参考文献
    相似文献
引用本文

张影华,覃金爱,李兰兰,等.综合干预对清洁切口手术预防使用抗菌药物的影响[J]. 中国感染控制杂志,2016,15(2):111-116. DOI:10.3969/j. issn.1671-9638.2016.02.010.
ZHANG Yinghua, QIN Jinai, LI Lanlan, et al. Effect of comprehensive intervention on antimicrobial prophylaxis in clean incision surgery[J]. Chin J Infect Control, 2016,15(2):111-116. DOI:10.3969/j. issn.1671-9638.2016.02.010.

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2015-03-20
  • 最后修改日期:2015-09-23
  • 录用日期:
  • 在线发布日期: 2016-02-28
  • 出版日期: