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目的:分析和对比骨科患者抗菌药物专项整治前后使用的情况,为后续工作提供依据,以进一步促进抗菌药物的规范使用。方法:随机分别抽取2011年1—7月和2013年1—7月两时段间该院骨科出院患者病历700份,分析整治前、后骨科抗菌药物临床使用情况,并做一回顾性对比。结果:整治后骨科抗菌药物使用强度(AUD)下降明显,在抗菌药物品种的选择和围术期抗菌药物的使用方面成效显著。结论:经抗菌药物临床使用专项整治活动,骨科抗菌药物临床的使用水平得到明显提高,但仍存在不足,需进一步加大行政干预力度,使抗菌药物的使用更趋合理。
OBJECTIVE: To analyze and compare the use of antimicrobial drugs before and after special treatment in orthopedic patients, and to provide the basis for follow-up work so as to further promote the standard use of antimicrobial drugs. Methods: A total of 700 medical records of orthopedic patients discharged from January to July in 2011 and January to July in 2013 were randomly collected. Clinical data of orthopedic antibiotics before and after revisions were analyzed and compared retrospectively. Results: After orthopedic treatment, the strength of orthopedics antimicrobial agents (AUD) decreased significantly, and the results were significant in the selection of antibacterial drugs and the use of perioperative antibacterials. Conclusion: The clinical use of antimicrobial agents has been significantly improved, but there are still some shortcomings. It is necessary to further increase the administrative intervention to make the use of antimicrobial agents more reasonable.