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目的:对妇科Ⅰ类切口手术的预防性抗菌药物使用进行综合干预管理的效果分析。方法:选取2011年6月(综合干预前)和2011年8月(综合干预后)的妇科Ⅰ类切口手术病例,分析比较干预前、后抗菌药物使用情况的变化和干预效果。结果:干预后8月份Ⅰ类切口手术抗菌药物预防性使用率从干预前6月份的54.81%下降至20.58%,抗菌药物合理使用率从6月份的33.65%上升到8月份的77.49%,抗菌药物人均用药天数、人均西药费均低于干预前水平。结论:对抗菌药物使用中存在的不合理因素,通过规范细化手术切口分类基础上的综合干预措施对妇科Ⅰ类切口手术抗菌药物的合理应用是有效可行的。
OBJECTIVE: To analyze the effect of comprehensive intervention management of prophylactic antibacterials used in gynecologic class Ⅰ incision. Methods: The cases of gynecological class Ⅰ incision in June 2011 (before comprehensive intervention) and August 2011 (after comprehensive intervention) were selected and analyzed. The changes of antibacterials before and after intervention were compared and the effect of intervention was analyzed. Results: After the intervention, the preventive use rate of Class I incision in August decreased from 54.81% in June before intervention to 20.58%, and the rational use of antibacterials rose from 33.65% in June to 77.49% in August. The antibacterials Per capita drug days, per capita Western drug costs were lower than the pre-intervention level. Conclusion: The rational use of antibacterials for class Ⅰ incision in gynecology is feasible and effective through the combination of the unreasonable factors existing in the use of antibacterials and the comprehensive intervention based on the classification and classification of incisional wounds.