Intervention efficacy of perioperative antimicrobial use in arthroscopic surgery
10.3969/j.issn.1671-9638.2016.04.004
- VernacularTitle:关节镜手术围手术期抗菌药物应用的干预效果
- Author:
Cui ZENG
;
Anhua WU
- Publication Type:Journal Article
- Keywords:
arthroscopic surgery;
perioperative period;
antimicrobial agent;
surgical site infection;
healthcare-asso-ciated infection;
intervention
- From:
Chinese Journal of Infection Control
2016;15(4):234-237
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate perioperative antimicrobial prophylaxis in arthroscopic surgery in a hospital before and after intervention,evaluate intervention efficacy,and provide evidence for the rational clinical antimicro-bial application.Methods From August 2012,measures were taken to intervene perioperative antimicrobial use, perioperative antimicrobial use and surgical site infection(SSI)in 312 patients undergoing arthroscopic surgery be-tween September 2011 and August 2013 were retrospectively surveyed.Results A total of 312 patients were investi-gated,pre-and post-intervention were 150 and 162 cases respectively,SSI rates were both 0 before and after inter-vention. Antimicrobial usage rate after intervention was lower than before intervention (26.54% vs 100.00% ,χ2=1.781,P<0.001). Irrational antimicrobial use dropped obviously;average expense of antimicrobial agents dropped from (1165.69±756.33)yuan (RMB)before intervention to (32.71 ±119.29)yuan (RMB)after intervention (t= 3.330,P<0.001).Conclusion Perioperative antimicrobial usage rate in arthroscopic surgery at this hospital decreased significantly after intervention,rational use of antimicrobial agents has improved,SSI rate still remains zero.
