本文選題：綜合干預(yù) + 抗菌藥物�。� 參考：《中華醫(yī)院感染學(xué)雜志》2015年19期

【摘要】：目的通過綜合干預(yù)措施促進(jìn)血管外科抗菌藥物的合理使用,以保證患者得到安全、有效、經(jīng)濟(jì)的藥物治療。方法采取行政管理和宣傳教育等多種方式對醫(yī)院血管外科抗菌藥物的合理使用進(jìn)行干預(yù),選取2011年1-3月和2014年1-3月血管外科所有出院患者405例,將其分為干預(yù)前組151例、干預(yù)后組254例,對干預(yù)前后各項(xiàng)評價(jià)指標(biāo)進(jìn)行對照研究。結(jié)果住院患者抗菌藥物使用率由干預(yù)前的(83.02±8.40)%下降至干預(yù)后的(16.77±6.78)%,Ⅰ類切口手術(shù)患者預(yù)防性使用抗菌藥物比例由干預(yù)前的(93.90±5.31)%下降至干預(yù)后的(7.71±3.84)%,抗菌藥物使用強(qiáng)度由干預(yù)前的(57.86±11.68)DDDs下降至干預(yù)后的(18.71±6.77)DDDs,其他多項(xiàng)指標(biāo)均有顯著改善。結(jié)論采用綜合干預(yù)措施對醫(yī)院血管外科抗菌藥物的合理、經(jīng)濟(jì)使用起到了積極的促進(jìn)作用。
[Abstract]:Objective to promote the rational use of antibacterials in vascular surgery by comprehensive intervention to ensure safe, effective and economical drug therapy. Methods the rational use of antimicrobial drugs in vascular surgery was interfered with by administrative management, propaganda and education. 405 patients were selected and divided into two groups: 151 patients were treated before intervention, and 405 patients were discharged from vascular surgery from January to March in 2011 and 2014. 254 cases in the intervention group were compared with each other before and after intervention. Results the utilization rate of antimicrobial agents in inpatients decreased from 83.02 鹵8.40% before intervention to 16.77 鹵6.78% after intervention. The proportion of prophylactic use of antibiotics decreased from 93.90 鹵5.31% before intervention to 7.71 鹵3.84% after intervention, and the intensity of antimicrobial use decreased from dry to dry. 57.86 鹵11.68)DDDs before intervention decreased to 18.71 鹵6.77 DDS after intervention, and many other indexes were significantly improved. Conclusion Comprehensive intervention can promote the rational and economical use of antimicrobial drugs in vascular surgery.
【作者單位】： 首都醫(yī)科大學(xué)附屬北京朝陽醫(yī)院藥事部;首都醫(yī)科大學(xué)附屬北京朝陽醫(yī)院血管外科;首都醫(yī)科大學(xué)附屬北京朝陽醫(yī)院醫(yī)院感染與疾病控制處;
【基金】：國家自然科學(xué)基金資助項(xiàng)目(81172986)
【分類號(hào)】：R969.3

【共引文獻(xiàn)】

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1 姚宏;;各級醫(yī)院460例Ⅰ類切口手術(shù)抗菌藥物預(yù)防性應(yīng)用對比分析[J];安徽醫(yī)藥;2011年12期

2 沈娟;;臨床藥師參與促進(jìn)臨床抗菌藥物合理使用[J];安徽醫(yī)藥;2012年04期

3 李楊;代鵬程;;我院Ⅰ類手術(shù)切口患者預(yù)防性使用抗菌藥物分析[J];北方藥學(xué);2010年03期

4 段吉年;李興茂;;我院Ⅰ類切口手術(shù)預(yù)防性應(yīng)用抗菌藥物調(diào)查[J];大理學(xué)院學(xué)報(bào);2011年06期

5 龐新莉;成華;熊鳳梅;武冬梅;;我院小兒清潔手術(shù)圍術(shù)期預(yù)防性應(yīng)用抗菌藥物調(diào)查分析[J];兒科藥學(xué)雜志;2012年02期

6 張秀華;王惠琴;邵麗;劉麗;;兒童腦包蟲摘除術(shù)的護(hù)理配合[J];護(hù)士進(jìn)修雜志;2012年06期

7 陳寧;顏青;鄭迎東;周穎;周亮;;技術(shù)干預(yù)對廣東省三甲醫(yī)院的3種外科手術(shù)預(yù)防性應(yīng)用抗菌藥物合理性的影響[J];中國臨床藥理學(xué)雜志;2011年11期

8 季閩春;孫光春;宋錦飛;;3種清潔手術(shù)抗菌藥物預(yù)防使用情況調(diào)查[J];中國臨床藥理學(xué)雜志;2012年02期

9 劉p，

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