Effectiveness of special rectification activity on clinical antimicrobial use in a tertiary first-class hospital
10.3969/j.issn.1671-9638.2015.03.014
- VernacularTitle:某三甲医院抗菌药物临床应用专项整治活动效果分析
- Author:
Taoyou ZHOU
;
Xiangjun CHEN
;
Mei GUAN
;
Nian LI
;
Fang LIU
;
Lei YU
;
Yingde HUANG
;
Min CHEN
- Publication Type:Journal Article
- Keywords:
antimicrobial management;
antimicrobial use density;
tertiary first-class hospital;
rational drug use;
perioperative period
- From:
Chinese Journal of Infection Control
2015;(3):202-204,210
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of antimicrobial agents in a tertiary first-class hospital before and after implementing special rectification activity on clinical antimicrobial use.Methods Data about antimicrobial use in a hospital in Sichuan Province between January 2011 and December 2013 were collected and analyzed retro-spectively,data included antimicrobial varieties,the ratio of antimicrobial prescription in outpatient department to emergency department,percentage of antimicrobial application expense in the total hospitalization expense,antimi-crobial use rate and use density,antimicrobial use rate and use density of special use antimicrobial agents,microbial detection for patients receiving restricted and special antimicrobials.Results Before implementing rectification of an-timicrobial use,there were 88 kinds of antimicrobial agents in hospital,after implementing rectification,there were 50 kinds of antimicrobial agents.The ratio of antimicrobial prescription in outpatient department to emergency de-partment,and the percentage of antimicrobial expense in the total hospitalization expense were both lower than be-fore rectification (both P <0.05 ).Antimicrobial use rate and antimicrobial use rate of special use antimicrobial agents before and after rectification were all statistically different(all P <0.05).Compared with before rectification, microbial detection rate of specimens from patients receiving restricted and special use antimicrobial agents improved significantly (both P <0.05 ).Perioperative antimicrobial prophylactic use rate in patients with class Ⅰincisional operation after rectification was lower than before rectification,while percentage of antimicrobials used 30 min-2 h before operation was higher than before rectification (both P <0.05).Conclusion After three year special rectifica-
tion,antimicrobial use become more rational,but management still needs further and continuous improvement.
