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目的:了解《抗菌药物临床应用指导原则》贯彻前后我院围手术期预防用药情况。方法:随机抽查贯彻前2004年和贯彻后2008年7～8月我院外科及骨科手术病例各53份,按文件要求进行围手术期预防用药合理性评估。结果:各项考核指标虽多有所改善,但有不少项目仍未达到“合理”的要求。患者药品费用反而增加,人均抗菌药费用净增358.64元,人均药品费用净增1230.40元,人日均抗菌药费用净增127.03元。结论:应进一步落实围手术期预防用药的相关规定。
Objective: To understand the “Guiding Principles for the Clinical Application of Antibacterial Drugs” before and after the implementation of perioperative prevention in our hospital. Methods: A random sample of 53 cases of surgical and orthopedic surgery in our hospital from July 2004 to July 2008 and before implementation in 2004 were randomly selected, and the rationality of perioperative prophylaxis was assessed according to the requirements of the documents. Results: Although various assessment indicators have improved somewhat, many projects have not yet reached the requirement of “reasonable”. Instead, the cost of drugs for patients increased, with a net increase of 358.64 yuan in per capita antimicrobial drug costs, a net increase of 1230.40 yuan in per capita drug costs and a net increase of 127.03 yuan in the average daily antimicrobial cost. Conclusion: Perioperative prophylaxis should be further implemented.