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目的:分析Ⅰ类切口手术围术期患者抗菌药物临床使用存在的问题,探讨改进现状的办法。方法:选取2014年10月1日—2015年9月30日间Ⅰ类切口出院患者资料,分析Ⅰ类切口手术围术期患者临床使用抗菌药物的医嘱用药,点评典型不适宜用药医嘱存在的原因。结果:分析发现Ⅰ类切口手术围术期151例患者抗菌药物的临床使用医嘱,存在的问题有用药疗程不合理、用药时机不合理、品种选取不合理等抗菌药物使用不合理,仍需进一步加以规范。结论:通过有效持续的医嘱点评和强有力的行政干预,提高了Ⅰ类切口手术围术期患者抗菌药物使用的医疗质量。
OBJECTIVE: To analyze the existing problems in the clinical use of antimicrobial agents in patients undergoing type I incision surgery and to explore ways to improve the status quo. Methods: The data of patients discharged from type Ⅰ incision between October 1, 2014 and September 30, 2015 were selected to analyze the clinical use of antibiotics in patients undergoing type Ⅰ incision perioperative period and the reasons for the typical unfavorable medical prescriptions . Results: It was found that the clinical use of antimicrobial agents in 151 patients during the perioperative period of type Ⅰ incision was unreasonable due to the irrational use of anti-bacterial drugs, irrational timing of medication, unreasonable selection of drugs and other unreasonable use of antimicrobial drugs. specification. CONCLUSIONS: The medical quality of antimicrobial use in perioperative patients with type I incision surgery has been improved through effective continuous commentary on doctor’s advice and strong administrative intervention.