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| Improvement of perioperative antibiotic prophylaxis in this hospital |
| XIE Shaoling,ZHANG Guoxiang,LI Fangjun, and LIU Yonggang |
| Department of Pharmacy, Guangdong Provincial Corps Hospital, Chinese People’s Armed Police Forces, Guangzhou 510507, China |
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Abstract Objective To standardise the antimicrobial prophylaxis(AMP)during perioperative period of surgical operations in this hospital and explore reasonable measures of intervention. Methods Patients who underwent three type I incisions in general surgery: including thyroid, breast and inguinal hermia repair surgery, were recruited. The patients dismissed from July to September of year 2011 were taken as pre-intervention group, and those in year 2012 and 2013 as post-intervention group. The rationaly of antibiolic prophylaxis between pre-intervention group and post-intervention group were compared control study. Results A total of 348 cases were investigated. The utilization rate of antimicrobial prophylaxis from year 2011 to 2013 were 96.2%, 33.6%, 6.9%, respectively. Utilization rates of antimicrobial prophylaxis in the three type I incision surgery during the three years were as follows: 100%, 3.8%, and 2.9% for thyroid surgery; 91.8%, 55.5%, and 12.8% for inguinal hermia repair surgery; 100%, 61.9%, and 8.7% for breast surgery. Conclusions The intervening measures improve effectively the reasonable use of antibiotics in clinic.
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Received: 10 March 2014
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Kijima T, Masuda H, Yoshida S, et al. Antimicrobial prophylaxis is not necessary in clean category minimally invasive surgery for renal and adrenal tumors: a prospective study of 373 consecutive patients[J]. Urology,2012,80(3):570-575.
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王国权,李 丹,吴 琼.Ⅰ类手术切口抗菌药物使用干预效果分析[J].中华医院感染学杂志,2013,23(20):5032-5034.
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悦姣星,黄 海. 做好医院感染控制工作的理性思考[J]. 华南国防医学杂志,2013,27(7):524-525.
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王 玉,薛苏冬,张 茜,等.294例普外科清洁手术围手术期预防用抗菌药物分析[J].抗感染药学,2012,9(4):312-314.
|
| [7] |
徐小刚,李光辉.抗感染药物在外科领域的预防性应用指南[J].中国抗感染化疗杂志,2005,5(3):180-183.
|
| [8] |
Togo Y, Tanaka S, Kanematsu A, et al. Antimicrobial prophylaxis to prevent perioperative infection in urological surgery: a multicenter study[J].Infect Chemother,2013,19(6):1093-1101.
|
| [9] |
Hansen E, Belden K, Silibovsky R, et al. Perioperative Antibiotics[J]. Arthroplasty,2014,29(2):29-48.
|
| [10] |
梅 昕,徐 莺,刘 婧,等.某院Ⅰ类手术切口围术期抗菌药物应用分析[J].武警医学, 2013,24(2):159-162.
|
| [11] |
张玉军,陈 英,杨周生.广西地区三级甲等医院3种清洁手术预防用抗菌药物干预前后的调查分析[J].中国医院药学杂志,2012,32(18):1486-1489.
|
| [12] |
刘振华,仲 华,吕娟丽.围术期应用抗菌药物的合理性及干预前后的对比[J].武警医学,2013,24(11):966-969.
|
| [13] |
曾玉琴,朱建勇,柯宗萍,等. 2型糖尿病合并肺部感染病原菌分布及药物敏感性[J]. 华南国防医学杂志,2012,26(4):336-338.
|
| [14] |
悦姣星,黄 海. 做好医院感染控制工作的理性思考[J]. 华南国防医学杂志,2013,27(7):524-525.
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2014, Vol. 25 
