The Influence of National Centralized Procurement on the Prevention and Use of Antibiotics in Orthopedic Class Ⅰ Incision Surgery
Objective To explore the effect of national collection on prophylactic use of antibiotics in orthopedic surgery with type Ⅰ incision.Methods Taking October 2021 as the fifth batch of national collection of antimicrobials as the policy implementation point,17 patients with orthopaedic type Ⅰ incision surgical prophylaxis using antimicrobials before collection(January to June 2021)and 17 patients with orthopaedic type Ⅰ incision surgical prophylaxis using antimicrobials after collection(January to June 2022)were selected.The data of selection of antibiotics,timing of preoperative administration,duration of administration and cost of drugs were analyzed retrospectively.Results After the national centralized purchase,the prophylactic use of antibacterial drugs in orthopedic Class Ⅰ incision surgery accounted for 64.72%,the administration time was mainly 30 min to 1 h before the operation,the proportion of medication duration≤24 h increased to 70.59%,and the use cost of antibacterial drugs decreased by 80.12%.Conclusion After the national centralized purchase,the selection of antibacterial drugs is more reasonable,which effectively reduces the drug burden of patients and effectively saves medical insurance funds.
National centralized purchaseAntibioticsOrthopaedicsClass Ⅰ incision
国家科技期刊平台
NSTL
万方数据
