Cleaning the antibacterial medicine rate of utilization of operation will lower again

Cleaning the antibacterial medicine rate of utilization of operation will lower again
Cleaning the antibacterial medicine rate of utilization of operation will lower again
Reporter Sun Meng February 15 from " Tertiary three kinds of cleaning operations of first rate hospital of China area prevent from using the intervention research against fungus medicine " Learn in middle period, intervene through the first stage, three kinds of operations of hospital participating in being studied use medicine rationality think the result better at the report-back meeting, intervene and win initial success, but there is not indication to use medicine the proportion is overall and still a bit high. It means it is human body's aseptic position that the operation is wild, the part has no inflammation, not damages to clean the operation, involve respiratory tract, digestive tract, secrete the intersection of urine and the intersection of reproduction and the intersection of dish,etc. and human body with external world, beat in harmony surgery of the organ either. It is reported, " tertiary three kinds of cleaning operations of first rate hospital of China area prevent from using the intervention research against fungus medicine " It is a subject of collaborative project of Ministry of Public Health and World Health Organization. Choose thyroid gland operation, mammary gland operation, inguinal hernia and mend often seeing notch operation of three kinds of surgery of the skill after starting formally in April of 2008, namely clean operation, launch, study in Jiangxi, Liaoning, Guangdong, Guangxi, 12 hospital and the intersection of Peking University and first hospital of Anhui. Have already finished the base-line at present and investigated that intervenes and studies with the first stage. Require according to Ministry of Public Health " antibacterial medicine clinical practice guideline ", if there are no special circumstances in one kind of notch operations or not the high-risk group, do not usually need to be preventative to use the antibacterial medicine. But the base-line investigation result reveals, in 1041 patients, there are 923 so preventative as to use antibacterial medicine, rate of utilization is 88.7%. In addition, the medical organization is enclosing the antibacterial medicine of period of operation unstandardly and using but still shown in the following several aspects: Use medicine opportunity to be unstandard, the intersection of notch and operation person of accepting etc., should give medicine in 2 hour 30 minute before skill, but among the 715 operation caseses investigated, only 305 can give medicine within stipulated time, use medicine opportunity it standardizes proportions to be only half still; Time is too long to use medicine, accepting notch operation person, 24 hours have been already enough to prevent from using medicine, but the investigation result reveals, time is 3.9 days, 4.3 days, 3.9 days on average respectively that postoperative thyroid gland operation, mammary gland operation and inguinal hernia operation use medicine; It is unstandard to jointly use medicine, the investigation finds, it amounts to 349 to unite the administration, accounts for 1041 33.5% which investigate the patient, one kind of notch operations encloses operation period and prevents administration and does not mostly need to jointly use medicine. Intervene result, show, three kinds of the intersection of notch and operation prevent with antibacterial medicine using medicine rationality have improvement at various degrees. It has not used, had administration of indication and not there are not three kinds of situations of administration of indication to analyze that the situation of using medicine divide into, not using medicine among them, the proportion has risen to 11.5% from 3.5% before intervention, has improved by a relatively large margin. The proportion is 59.6% that the ones that appraise key factor as the rational administration have no indication to use medicine, slightly drop than 61.9% of the base-line result. The investigation reveal, there is not the proportion of administration of indication that although drop through intervening, overall and still a bit high, the main reason that it is used that the antibacterial medicine is unreasonable; Such problems as mistake and medicine are chosen improperly that there is administration of indication to exist for time of using medicine too. The hospital of Ministry of Public Health manages the management professional committee's Deputy Director Yan Qing of the medicine thing of research institute to say, should follow the above-mentioned situations in the second round is intervened, make the intervening measure pointedly, intervene the administration.


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