改进处方点评方法对促进Ⅰ类切口预防性抗菌药物合理使用的效果分析

    Effect analysis of the preventive use of antibiotics in improving type I incision by the modified prescription comment

    • 摘要: 目的:探讨改进处方点评方法对Ⅰ类切口手术预防使用抗菌药物的影响。方法:随机抽取改进方法前后的Ⅰ类切口手术出院病历,对其预防使用抗菌药物的合理性进行对照分析。结果:通过改进处方点评方法,Ⅰ类切口预防性抗菌药物使用率由48.3%下降至31.6%(P<0.01),抗菌药物合理使用率由57.5%提高至92.0%(P<0.01),Ⅰ类切口围手术期预防使用抗菌药物选择品种的合理率由74.5%上升至87.3%(P<0.01)。结论:改进处方点评方法显著降低了Ⅰ类切口预防性抗菌药物的使用率,提高了其合理率,对保障用药安全、提高医生的用药意识具有积极意义。

       

      Abstract: Objective:To explore the effects of preventive use of antimicrobial agents on improving type Ⅰ incision by modified prescription comment.Methods:The medical records of type Ⅰ incision surgery were randomly selected.The rationality of preventive use of antimicrobial agents was contrastively analyzed by the before and after modified method of prescription comment.Results:Using the modified prescription comment, the utilization rate of the preventive use of antimicrobial agents in type Ⅰ incision decreased from 48.3% to 31.6%(P<0.01), the reasonable use rate of antimicrobial drug increased from 57.5% to 92%(P<0.01), and the reasonable use rate of the preventive use of antibiotics in perioperative type Ⅰ incision increased from 74.5% to 87.3%(P<0.01).Conclusions:The modified prescription comment can significantly decrease the utilization rate and increase the reasonable rate of the preventive use of antimicrobial agents in type Ⅰ incision, which plays the active role in ensuring medication safety and improving the consciousness of use drug.

       

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