干预前后清洁手术围术期预防性应用抗菌药物对比分析

目的：了解河南省范县人民医院对清洁手术围术期预防性应用抗菌药物进行干预的整体效果,为临床合理用药提供参考。方法：按照相关标准,抽取我院骨外科、普外科2010年5月—2011年4月（干预前）住院病历220份与2011年5月—2012年4月（干预后）住院病历260份,对清洁手术围术期预防性应用抗菌药物情况进行统计分析。结果：干预后,我院清洁手术围术期预防性应用抗菌药物的综合合理率大幅提升,由干预前的2.3%升至71.9%,干预效果斐然。结论：对临床医师使用抗菌药物的行为进行督导干预,能进一步规范抗菌药物的使用。

Contrastive Analysis of The Perioperative Use of Prophylactic Antibiotics in Patients Undergoing Aseptic Surgery before and after The Intervention

OBJECTIVE：To investigate the intervention efficacy on the perioperative use of prophylactic antibiotics in patients undergoing aseptic surgery in Henan Fanxian County People＇s Hospital for clinical reference of rational drug use.METHODS： In accordance with related criteria,the medical records of 220 inpatients hospitalized in the department of orthopedic surgery or general surgery from May 2010 to April 2011（before intervention） vs.260 inpatients hospitalized in the department of orthopedic surgery or general surgery from May 2011 to April 2012（after intervention） were analyzed contrastively with regard to the rationality of perioperative use of prophylactic antibiotics.RESULTS： The intervention has achieved remarkable efficacy in that the rate of rational perioperative use of prophylactic antibiotics in patients undergoing aseptic surgery in our hospital has been greatly increased from 2.3% before intervention to 71.9% after intervention.CONCLUSION： The supervision and intervention on clinicians＇ behavior in the use of antibiotics is conducive to standardized use of antibiotics.