Effect of antibiotic standardized management on prophylactic application of antimicrobial agents in type I and Ⅱ incision
- VernacularTitle:抗菌药物规范化管理对Ⅰ、Ⅱ类切口中抗菌药物预防应用情况的影响
- Author:
Shuiliang FANG
;
Xingtao QIU
;
Shuihu HUANG
;
Xiumei ZHANG
- Publication Type:Journal Article
- Keywords:
type I incision;
type Ⅱ incision;
antimicrobial agents;
prophylactic applications;
medication specification
- From:
Chinese Journal of Biochemical Pharmaceutics
2015;(9):85-87,90
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate effect of antibiotic standardized management on prophylactic application of antimicrobial agents in type I andⅡ incision.Methods The hospital implemented the rule of Clinical Use of Antibiotics Management Approach and 2013 National Clinical Use of Antibiotics Special Rectification Program of Activities, 200 clinical surgery effective surgical cases before implementation and 250 clinical surgical effective surgical cases after implementation were selected.The thyroid surgery and hernia repair surgery were chosen as type I incision, and cesarean section were chosen as type Ⅱ incision.The basic data of surgery classification and antibacterials use were collected, then the antibiotics utilization ratio, the timing of administration of antibiotics, postoperative use of antibiotics time and combination therapy were compared between pre-implementation and post-implementation.Results The condition in accordance with applicable standards of antibiotics post-implementation: the antibiotics utilization ratio of thyroid surgery was 0 and post-operative stopping time was within one day.There was no combination therapy of three types surgery ( thyroid surgery, hernia repair surgery and cesarean section).The application of antimicrobial agents improved significantly but did not reach criteria:antibiotics utilization ratio of hernia repair surgery was 62.00%, which was higher than the criterion of 30% in antibiotic standardized management.Withdrawal time of antimicrobial agents post-operation in hernia repair surgery was (1.01 ±0.15)d which was above the standard of 1d and in cesarean section was (2.02 ±0.25)d which was above the standard of 2d.Conclusion The hospital strengthens management and standardizd regulation of antimicrobial drugs could facilitate standardization in type I and Ⅱ incision, and improve the quality of hospital medication administration of antibiotics.
