Practice of persistent comprehensive standardized management of prophylactic use of antibiotics for type Ⅰ incision surgery patients during perioperative period in a hospital from 2012 to 2020 and its effect
OBJECTIVE To evaluate the practice of persistent comprehensive standardized management of prophy-lactic use of antibiotics for type Ⅰ incision surgery patients during perioperative period in a hospital from 2012 to 2020 and observe its effect.METHODS The persistent comprehensive standardized management measures were taken to intervene the prophylactic use of antibiotics for the type Ⅰ incision surgery patients during perioperative period.The descriptive analysis was performed for the type Ⅰ incision surgery patients who were treated with an-tibiotics prophylaxis in Daqing Oilfield General Hospital from Jan 1,2011 to Dec 31,2020.A retrospective com-parative study was conducted for rationality of prophylactic use of antibiotics,total cost of hospitalization and cost of antibiotics among the control group(from Jan 1,2011 to Dec 31,2011),the stage 1 intervention group(from Jan 1,2015 to Dec 31,2015)and the stage 2 intervention group(from Jan 1,2020 to Dec 31,2020).RESULTS The rate of prophylactic use of antibiotics for type incision surgery showed a downward trend from 2011 to 2020 and dropped by 34.13％(P＜0.05).The proportion of patients with drug administration time ranging between 0.5 and 1 hour before the surgery,rationality of selection of drugs and rationality of selection of menstruum were im-proved to a various degree after the two stages of intervention(P＜0.05).The postoperative medication time tren-ded to be standardized.The per capita cost of prophylactic use of antibiotics showed a downward trend,and the proportion of the per capita cost of prophylactic use of antibiotics among the per capita of total hospitalization cost also showed a downward trend(P＜0.05).CONCLUSION The top-level design,formulation of indexes,special management and feedbacks from functional departments,execution of clinical departments,closed-loop manage-ment model of rectification and long-term management and working mechanisms for prophylactic use of antibiotics has made the prophylactic use of antibiotics for type I incision surgery standardized and reasonable,improves the reasonable use of antibiotics,and reduce the hospitalization cost of the patients.
Type Ⅰ incision surgeryAntibioticPerioperative periodPersistenr comprehensive management measureEffect
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