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目的:探讨某院针对Ⅰ类切口围手术期预防使用抗菌药物的持续干预措施对该院等级医院评审结果的影响。方法:利用合理用药监测系统选取该院2015年4~12月Ⅰ类切口手术患者出院病例,每轮随机抽样1 500例,根据干预措施实施的3个循环过程分为3组(第1轮干预组、第2轮干预组、第3轮干预组),对围手术期预防性使用抗菌药物的2 470份病历进行回顾性调查,分析持续干预过程中Ⅰ类切口围手术期抗菌药物合理使用的持续改进情况。结果:在数轮干预过程中,该院Ⅰ类切口手术围手术期抗菌药物预防使用率逐渐降低,用药合理率逐渐提高,且在选择抗菌药物类型方面也不断改进,此次干预措施促进了该院等级医院评审评分结果的提升。结论:该院针对Ⅰ类切口围手术期抗菌药物预防使用的持续干预措施有效地促进了等级医院评审相关条款的达标,对医院管理的质量的提升具有积极影响。
OBJECTIVE: To investigate the effect of continuous interventions in prevention and treatment of antimicrobial agents in a hospital for class Ⅰ incision on the evaluation results of hospital-level hospitals. Methods: A total of 1 500 cases of type I incision surgery were randomly selected in this hospital from April 2015 to December 2015. The patients were divided into three groups according to the three cycles of intervention (the first round of intervention Group 2, intervention group 3 and intervention group 3), a retrospective study was conducted on 2 470 medical records of prophylactic use of antibacterials perioperatively to analyze the rational use of class I perioperative antibiotics during the continuous intervention Continuous improvement. Results: In the course of several rounds of intervention, the prevention and treatment of antimicrobial agents in type Ⅰ Ⅰ incision perioperatively decreased gradually, the reasonable rate of medication was gradually increased, and the types of antimicrobial agents were also improved. The interventions promoted the Hospital-level hospital review score to enhance the results. CONCLUSION: The continuous intervention measures for perioperative antimicrobial prophylaxis in Class I incision at this hospital have effectively promoted the compliance of relevant articles of the grade hospital review, which has a positive impact on the quality of hospital management.