专项整治前后清洁手术预防性使用抗菌药物情况对比分析

目的：统计分析抗菌药物专项整治前后外科系统清洁手术预防性应用抗菌药物情况，评估抗菌药物专项整治活动的成效。方法：采用回顾性调查方法，分别抽取2012年第一季度（A组）和第四季度（B组）清洁手术病历，针对抗菌药物预防性应用的合理性进行评价。结杲：B组各科室清洁手术抗菌药物预防性使用、用药指征合理率、用药时机合理率、疗程合理率和药物品种选择合理率均较A组有明显提高（P〈0．01）。结论：马鞍山十七冶医院清洁手术预防性使用抗菌药物合理性明显提高，抗菌药物专项整治活动卓有成效。

Comparative analysis of prophylactic use of antimicrobial drugs for clean surgery before and after the special rectification of antibiotics

Objective： To investigate the clinical preventive application of antibiotics before and after the special rectification of antimicrobial drugs, and to assess its effectiveness in Maanshan Shiqiye Hospital. Methods：Extract the clean surgical medical records during the first（group A） and fourth（ group B） quarters of 2012 in Maanshan Shiqiye Hospital, and evaluate the reasonableness of prophylactic antimicrobial agents in perioperative period of clean surgery. Results： The rationality of clean surgical prophylactic use of antimicrobial agents in group B has improved greatly compared with group A（P 〈 0.01 ）, in these ways of medication indications, timing of administration, course of treatment, selection of antimicrobic varieties, etc. Conclusions： The special rectification of antibiotics has made certain amount of achievement, and the rationality has been improved significantly.