干预前、后外科围术期预防使用抗菌药物情况调查分析

目的调查采取干预措施前、后外科围术期抗菌药物使用情况,规范该院围术期预防使用抗菌药物的使用和管理。方法选择该院2011年3～6月外科围术期病历300份作为非干预组;在医院进行一系列干预措施后,另选取2012年1～3月外科围术期病历300份作为干预组。分析2组抗菌药物预防使用情况。结果抗菌药物的合理用药比例由干预前的10.33%上升到干预后的86.67%,差异有统计学意义(P<0.05)。干预前围术期预防性应用抗菌药物存在的主要问题,在干预后均有显著改善。结论实施围术期预防使用抗菌药物干预措施是有效的。

Investigation and analysis of antibiotics in perioperative period before and after intervention measure

Objective To investigate the usage of antibiotics in perioperative period before and after intervention measure so as to improve the rational medication. Methods 300 cases from March to June 2011 were selected as non inter- vention group, and 300 cases from January to March 2012 were selected as intervention group in our hospital. Analyze the usage of antibiotic of 2 groups. Results The rational rate of antibiotic use increased from 10.33 % （ before intervention） to 86.67% （after intervention） ,the difference was statistically significant （P 〈 0.05 ）. There were some problems during the perioperative period before intervention and these main problems were improved significantly after intervention. Conclusion It is effective to carry out intervention measure in perioperative period.