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我院两种Ⅰ类切口手术预防用抗菌药干预效果调查
Observation of the Changes of Phylactic Application of Antibacterials in the Two Kinds of Type Incision Operation in our Hospital After the Implementation of a Series of Methods
  
DOI:
中文关键词:  抗菌药  Ⅰ类切口  围手术期  预防用药  干预研究
英文关键词:Antibiotics  TypeⅠincision  Perioperative period  Rational drug use  Interventional study
基金项目:
作者单位
张婉 北京顺义区医院药剂科(北京 101300) 
王涓 北京顺义区医院药剂科(北京 101300) 
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中文摘要:
      摘 要 目的:评价多项措施逐步实施后两种Ⅰ类切口手术(白内障手术、疝气修补术)预防用药情况的变化。方法:采用回顾性调查,对2012年前三季度出院的上述2种Ⅰ类切口手术病例抗菌药使用情况进行统计、分析。结果:多项措施逐步实施后,抗菌药种类的选择趋于合理;白内障术后抗菌药使用时间≤24 h的比例由0(1季度)提高到100%(3季度);两种手术的用药金额也随之下降;但仍与北京市卫生局的要求存在差距。结论:采取的干预措施有效、可行,但仍需加大力度,多方改进,以促进一步完善。
英文摘要:
      ABSTRACT Objective:To evaluate the changes of phylactic application of antibacterials in the two kinds of typeⅠincision operation after a series of methods were implemented step by step.Methods:A retrospective analysis was carried out to statistically analyze of the use of antibacterials in the two kinds of TypeⅠincision operations in the first three quarters of 2012. Results:After the implementation of a series of methods,the selection of antibacterial drug type tended to be reasonable, and the proportion of postoperative antimicrobial time ≤24 h increased from 0(the first quarter) to 100%(the third quarter) in cataract operations. The average cost of antibacterials also decreased significantly. But there was still a big gap in accordance with the requirements of Beijing Health Bureau. Conclusion:Interventions were effective and feasible, but still greater efforts needed to be made to promote further perfection.
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