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目的了解剖宫产手术部位感染发生情况,通过目标性监测采取干预措施,促进抗菌药物的合理使用,降低手术部位感染发生率。方法选取医院2013-2015年剖宫产手术3 207例患者的临床资料,其中2013年为基线调查,2014-2015年为干预期,针对观察资料进行总结分析,采取综合干预措施,对比术后感染率,抗菌药物使用的合理性。数据采用SPSS 18.0进行统计分析。结果基线组手术969例,干预组手术2 238例,通过采取综合性干预措施,干预组手术部位感染率低于基线组,抗菌药物选用、用药时机、用药疗程合理性均高于基线组(P<0.01)。结论以目标性监测资料为依据,采用综合性干预措施能有效促进抗菌药物合理使用,降低剖宫产手术部位感染率。
Objective To understand the incidence of cesarean section infection and to take interventions through targeted monitoring to promote the rational use of antimicrobial agents and reduce the incidence of infection at the surgical site. Methods The clinical data of 3 207 cases of cesarean section in the hospital from 2013 to 2015 were selected. Among them, 2013 was the baseline survey and 2014-2015 was the intervention period. The data were summarized and analyzed. The comprehensive interventions were used to compare the postoperative infection Rate, the use of antibacterial drugs rationality. Data were analyzed by SPSS 18.0. Results In the baseline group, 969 cases were operated and 2 238 cases were treated in the intervention group. The infection rate of the surgical site in the intervention group was lower than that of the baseline group through comprehensive interventions. The selection of antimicrobial agents, the timing of medication, and the rationality of medication were higher than those of the baseline group (P <0.01). Conclusion Based on the target monitoring data, comprehensive interventions can effectively promote the rational use of antimicrobial agents and reduce the infection rate of cesarean section.