Effect of comprehensive intervention on antimicrobial prophylaxis in clean incision surgery
10.3969/j.issn.1671-9638.2016.02.010
- VernacularTitle:综合干预对清洁切口手术预防使用抗菌药物的影响
- Author:
Yinghua ZHANG
;
Jinai QIN
;
Lanlan LI
;
Juan HUANG
;
Xiaohong HUANG
;
Jingjing YA
;
Qunxiu GUO
;
Yue QIU
;
Xibing WANG
;
Daohai CHENG
- Publication Type:Journal Article
- Keywords:
clean incision;
surgical site infection;
antimicrobial agent;
intervention;
improvement
- From:
Chinese Journal of Infection Control
2016;15(2):111-113
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of comprehensive intervention on perioperative antimicrobial prophy-laxis in clean incision surgery in a hospital.Methods From 2011 ,clean incision surgery cases were performed com-prehensive intervention,antimicrobial use in 2011 -2013 were compared.Results A total of 5 945 cases of clean in-cision surgeries were investigated between 2011 and 2013,3 827 cases (64.37%)received prophylactic use of anti-microbial agents.Prophylactic antimicrobial usage rates in 2011 -2013 were 84.95%,69.99%,and 52.97% re-spectively(χ2 =380.94,P <0.001);the correct rates of medication time were 50.97%,79.99%,and 98.95% re-spectively(χ2 =827.02,P <0.001 );the percentages of prophylactic antimicrobial use ≤24 hours were 24.91 %, 39.96%,and 64.95% respectively(χ2 =422.55,P <0.001 );additional antimicrobial usage rates during surgery were 50.00%,60.00%,and 80.00% respectively(χ2 =59.47,P <0.001 ).Conclusion The implementation of comprehensive intervention measures can standardize antimicrobial use,reduce prophylactic antimicrobial usage rate,improve the correct rate of medication time,shorten the duration of antimicrobial use,and implement addition-al use of antimicrobial agents during surgery.
