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目的:通过对围手术期抗菌药预防使用的干预对照研究,探讨监测-培训-计划(MTP)干预模式对围术期预防性抗菌药的合理性使用的影响。方法:采用回顾性随机抽查,指标调研,干预前后对照的方法,对我院正常剖宫产、子宫肌瘤及甲状腺瘤摘除术病例进行调研,通过MTP活动对目标医生进行干预。结果:我院正常剖宫产、子宫肌瘤及甲状腺瘤摘除术干预前后,按指南选药百分率有所提高,平均住院天数、平均住院药费等指标呈比较明显的下降趋势。结论:MTP在提高围术期预防性抗菌药的合理性使用方面是种理想方法。
OBJECTIVE: To explore the impact of monitoring-training-planning (MTP) intervention on the rational use of perioperative prophylactic antimicrobial agents through an interventional controlled study of prophylactic use of perioperative antibiotics. Methods: A retrospective random sampling, index research, intervention before and after the method of comparison, normal cesarean section in my courtyard, uterine fibroids and thyroidectomy cases were investigated, through the MTP activities of the target doctor intervention. Results: Before and after the intervention of normal cesarean section, uterine fibroids and thyroid adenoma in our hospital, the percentage of drug selection according to the guideline was increased. The average days of hospitalization and average hospitalization expenses showed a more obvious downward trend. Conclusions: MTP is the ideal method to improve the rational use of perioperative prophylactic antibacterials.