临床药师干预Ⅰ类切口手术抗菌药物预防性使用的效果评价
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陶敏

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R969.3

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Effectiveness of clinical pharmacists’ intervention in antimicrobial prophylaxis in type I incisional surgery
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    摘要:

    目的评价临床药师干预Ⅰ类切口手术围手术期抗菌药物预防性使用的效果。方法对某院2014年1—12月收治的1 398例Ⅰ类切口手术患者的临床资料进行回顾性分析,其中2014年1—6月收治的633例患者作为干预前组;2014年7—12月收治的765例患者作为干预后组(设置临床药师,加强对合理用药的管理与控制),比较干预前后患者围手术期预防性使用抗菌药物情况。结果干预前后两组围手术期患者抗菌药物预防性使用率分别为56.71%和28.37%,差异具有统计学意义(χ2=113.26,P<0.05)。干预前、后两组患者抗菌药物品种选择合理率分别为60.45%、89.86%,给药时机合理率分别为49.58%、82.49%,预防性应用抗菌药物疗程≤24 h者分别为11.42%、29.95%,疗程>24 h者分别为88.58%、70.05%,联合用药比率分别为10.31%、0,干预前后比较,差异均具有统计学意义(均P<0.05)。干预前后两组患者Ⅰ类切口感染发病率分别为0.79%(5/633)、0.26%(2/765),差异无统计学意义(P=0.255)。结论通过临床药师对Ⅰ类切口手术围手术期抗菌药物预防性使用干预,其使用率显著下降,使该院抗菌药物管理工作更加规范化、科学化和制度化。

    Abstract:

    ObjectiveTo evaluate effectiveness of clinical pharmacists’ intervention in perioperative antimicrobial use in type I incisional surgery.MethodsClinical data of 1 398 patients undergoing type I incisional surgery in a hospital between January and December 2014 were analyzed retrospectively, 633 patients who underwent surgery between January and June were as preintervention group, 765 patients who underwent surgery between July and December were as postintervention group (clinical pharmacists were assigned to strengthen the management and control of rational antimicrobial use), antimicrobial prophylaxis between preintervention group and postintervention group were compared.ResultsIn pre and postintervention groups, antimicrobial prophylaxis were 56.71% and 28.37% respectively(χ2=113.26,P<0.05). Rational selection rates of antimicrobial types were 60.45% and 89.86% respectively, rational rates of administration time were 49.58% and 82.49% respectively, the rates of antimicrobial prophylaxis course≤24 hours were 11.42% and 29.95% respectively,>24 hours were 88.58% and 70.05% respectively,combination antimicrobial use were 10.31% and 0 respectively,the differences between before and after intervention were all statistically significant (all P<0.05). Incidence of surgical site infection in preand postintervention groups were 0.79%(5/633)and 0.26%(2/765)respectively(P=0.255).ConclusionThrough clinical pharmacists’ intervention in perioperative antimicrobial prophylaxis in type I incisional surgery, antimicrobial prophylaxis rate decreased dramatically, antimicrobial management is more standardized, scientific and systematic.

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陶敏,张月笙.临床药师干预Ⅰ类切口手术抗菌药物预防性使用的效果评价[J]. 中国感染控制杂志,2016,15(4):269-271. DOI:10.3969/j. issn.1671-9638.2016.04.013.
TAO Min, ZHANG Yuesheng. Effectiveness of clinical pharmacists’ intervention in antimicrobial prophylaxis in type I incisional surgery[J]. Chin J Infect Control, 2016,15(4):269-271. DOI:10.3969/j. issn.1671-9638.2016.04.013.

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  • 收稿日期:2015-06-20
  • 最后修改日期:2015-08-26
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  • 在线发布日期: 2016-04-30
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