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目的调查我院白内障围术期抗菌药物的用药情况,分析行政干预前后的结果。方法调查克拉玛依市中心医院2013年7月—2014年6月白内障手术归档病历327例,对围术期抗菌药物的用药数据进行统计分析。结果白内障围术期均使用抗菌药物,2013年下半年白内障手术是采用全身性抗菌药物联合局部用药的方法预防感染,2014年上半年白内障手术仅使用局部抗菌药物;白内障手术的切口愈合情况基本相同,但住院时间、住院费用、抗菌药物占总费用的比例均有下降。结论通过行政干预,白内障围术期停止使用全身性抗菌药物,可以降低医院的一类切口抗菌药物使用率,促进抗菌药物的合理使用。
Objective To investigate the use of antimicrobial agents during cataract surgery in our hospital and analyze the results before and after administrative intervention. Methods: Karamay Central Hospital from July 2013 to June 2014 cataract surgery archived 327 cases of medical records of perioperative antibacterial drugs for statistical analysis. Results Cataract perioperative use of antimicrobial agents, cataract surgery in the second half of 2013 is the use of systemic antimicrobial agents combined with topical anti-infectives in the first half of 2014 cataract surgery using only local antimicrobial drugs; cataract surgery incision healed basically the same , But the proportion of hospitalization time, hospitalization expenses and antimicrobial drugs in total expenses decreased. Conclusion Through administrative intervention, cessation of perioperative cessation of systemic antimicrobial agents can reduce the use of a class of hospital antibacterial drugs to promote the rational use of antimicrobial agents.