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目的针对普外科围术期预防应用抗菌药物情况进行分析和评价,围绕存在问题制定干预措施并实施干预,探讨临床药师参与临床合理用药的模式。方法调查2014年第一季度(即干预前)和2014年第三季度(即干预后)普外科Ⅰ、Ⅱ类切口手术的抗菌药物使用情况,从适应证、给药时机等方面做出用药合理性评估,比较干预前、后的相关指标,评价干预效果。结果经临床药师干预,围术期预防用药在适应证、药物选择、用法用量等方面均明显提高(P<0.05)。结论通过临床药师的用药教育和监督管理及相关行政部门的共同协作等一系列干预措施对指导临床应用抗菌药物有一定的可行性和有效性。
Objective To analyze and evaluate the prevention and treatment of antimicrobial agents in perioperative period in general surgery and to develop interventions and interventions based on the existing problems to explore the clinical pharmacists’ participation in the clinical rational drug use. Methods Investigate the use of antibacterials in the first quarter of 2014 (ie before intervention) and the third quarter of 2014 (ie after intervention) in class I and II incision surgery, and make rational use of drugs according to indications, timing of administration, etc. Sexual assessment, comparing the relevant indicators before and after intervention, evaluate the effect of intervention. Results The intervention of clinical pharmacists, perioperative prophylaxis in indications, drug selection, usage and dosage were significantly increased (P <0.05). Conclusion Through a series of interventions, such as drug education and supervision of clinical pharmacists and the cooperation of relevant administrative departments, it is feasible and effective to guide the clinical application of antibacterial drugs.