Effect of Medical Order Comment Intervention on Perioperative Use of Antibacterial Drugs in Patients with Class Ⅰ Incision Surgery in the Hospital
Objective:To analyze the effect of medical order comment intervention on perioperative use of antibacterial drugs in patients with Class Ⅰ incision surgery in the hospital,and provide a reference for the clinically rational use of antibacterial drugs in such patients.Methods:A total of 328 patients with Class Ⅰ incision surgery admitted to Dongxiang District People's Hospital of Fuzhou from January 2020 to June 2021(164 patients,before medical order comment intervention)and from July 2021 to December 2022(164 patients,after medical order comment intervention)were selected as the research objects.The preventive use rates and irrational use types of antibacterial drugs in patients with different surgeries before and after the medical order comment interventions were compared and analyzed.Results:After the medical order comment interventions,the preventive use rates of antibacterial drugs in patients with Class Ⅰ incision surgery were significantly lower than those before the medical order comment interventions(28.66％vs 79.27％,P<0.05),and the preventive use rates of antibacterial drugs in the surgical procedures such as inguinal hernia surgery,breast surgery,orthopedic surgery,cataract surgery,and thyroid disease surgery were lower than those before the medical order comment interventions(P<0.05).In addition,the results of medical order comments showed that the irrational rates of perioperative antibacterial drugs in patients after medical order comment interventions were significantly lower than those before medical order comment interventions in terms of timing of administration,drug selection,course of medication,usage and dosage,and combined medication,etc.(P<0.05).Conclusion:The medical order comment interventions can effectively improve the irrational use of perioperative antibacterial drugs in patients with Class Ⅰ incision surgery in the hospital,thereby improving the clinical level of rational drug use and guaranteeing the safe medication of patients.
class Ⅰ incision surgeryperioperative periodmedical order commentantibacterial drugs
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