Effectiveness of clinical pharmacists’ intervention in antimicrobial prophylaxis in type I incisional surgery
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R969.3

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    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].中国感染控制杂志英文版,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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History
  • Received:June 20,2015
  • Revised:August 26,2015
  • Adopted:
  • Online: April 30,2016
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