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目的探讨PDCA循环法规范本院抗菌药物合理应用的效果。方法使用PDCA循环管理的方法通过Plan(计划)、Do(执行)、Check(检查)和Action(处理)四个阶段规范本院抗菌药的使用,观察并比较使用前后相关指标的变化。结果实施PDCA循环法后本院抗菌药使用率、I类切口手术预防使用率、和住院患者抗菌药使用强度明显降低,而住院患者微生物送检率明显提高(P<0.05)。且抗菌药物使用不合理情况相关指标所占比例明显降低(P<0.05)。结论 PDCA循环法规范抗菌药的合理应用临床效果较好,值得临床推广。
Objective To investigate the effect of rational use of antimicrobial agents in our hospital by PDCA circulation method. Methods PDCA cycle management method was used to regulate the use of antimicrobial agents in our hospital from Plan, Do, Check and Action to observe and compare the changes of related indicators before and after use. Results After the implementation of PDCA cycle method, the usage of antibacterials in our hospital, the preventive use rate of type I incision, and the use intensity of antibacterials in inpatients were obviously decreased, while the inpatients’ inoculation rate was significantly increased (P <0.05). The proportion of relevant indicators of unreasonable use of antimicrobial agents was significantly lower (P <0.05). Conclusion The PDCA circulating method standard antibacterials rational use of clinical effect is good, worthy of clinical promotion.