首页|基于全国抗菌药物临床应用监测网的手术组病例用药合理性分析

基于全国抗菌药物临床应用监测网的手术组病例用药合理性分析

Analysis of the Rationality of Drug Use in Operation Group Case Based on the National Antibiotic Clinical Application Monitoring Net-work

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目的 分析全国抗菌药物临床应用监测网中手术组病例用药的合理性.方法 通过建立抗菌药物临床应用监测网病例评价标准,对手术组病例抗菌药物使用的合理性进行评价.结果 我国手术组病例预防用抗菌药物使用率呈下降趋势,2021年Ⅰ类切口手术预防用抗菌药物的使用率为32.20%,无适应证用药的比例从2017年的11.35%下降到2021年的6.87%,抗菌药物预防使用的合理率从2017年的15.05%上升到2021年的29.73%.不合理用药情况主要表现为围手术期用药不合理,构成比5年均值为55.13%;其次为药物选择不合理,构成比5年均值为18.58%;以及每日给药次数、单次剂量不合理等.结论 需持续加强手术抗菌药物使用管理和监测力度,保障临床用药安全.
Objective To analyze the rationality of clinical application of antibiotics in operation group of monitoring network in China.Methods The reasonableness of the use of antibiotics in the operation group was evaluated by estab-lishing the case evaluation criteria of the clinical application monitoring network of antibiotics.Results The use of pre-ventive antibiotics in the surgical group showed a decreasing trend.In 2021,the use of preventive antibiotics in Class I in-cision surgery was 32.20%,and the rate of use without indication decreased from 11.35%in 2017 to 6.87%in 2021.The rationalization rate of antimicrobial use increased from 15.05%in 2017 to 29.73%in 2021.Irrational manifestations were mainly irrational drug use in perioperative period,with an average composition ratio of 55.13%in 5 years,followed by ir-rational drug selection,with an average composition ratio of 18.58%in 5 years,and unreasonable daily administration times and single dose.Conclusion It is necessary to strengthen the management and monitoring of antibiotic use in operation to ensure the safety of clinical use.

Antibacterial DrugRational Drug UseDrug Use EvaluationPerioperative PeriodMonitoring

府裕琦、吕娟丽、陈熙、吕红梅、杨小强、赵颖波

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国家卫生健康委医院管理研究所 北京 100044

抗菌药物 合理用药 用药评价 围手术期 监测

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(4)
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