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WANG Kejing; CHEN Lin

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- China Pharmacy Vol. 27, Issue 5, (2016)
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WANG Kejing, CHEN Lin. [J]. China Pharmacy 27(5).(2016)
DOI：

WANG Kejing, CHEN Lin. [J]. China Pharmacy 27(5).(2016) DOI：

摘要

目的：探讨临床药师对宫腔镜手术围术期抗菌药物使用实施干预的效果。方法：抽取2014年7－9 月（干预前）、2014 年10－12 月（干预后）宫腔镜手术治疗的患者病历各250 份，对干预前后围术期使用抗菌药物的合理性进行回顾性分析。结果：经干预后，抗菌药物使用强度由47.02 DDDs/（100人·d）降至23.30 DDDs/（100人·d），使用率由82.40％降至57.20％，干预前后比较差异均有统计学意义（P＜0.01）；宫腔镜手术围术期抗菌药物用药指征合理率由56.80％升至 82.52％，用药疗程合理率由49.51％升至 79.02％，干预前后比较差异均有统计学意义（P＜0.05）。结论：临床药师干预宫腔镜手术围术期抗菌药物使用是有效、可行的，能积极促进抗菌药物的合理使用。

Abstract

OBJECTIVE： To explore the intervention effects by clinical pharmacist on the use of antibacterials during perioperative period of hysteroscopic surgery. METHODS： 250 medical records of hysteroscopic surgery were collected from July to September in 2014 （before intervention） and from October to December in 2014 （after intervention）. The rationality of antibacterials during perioperative period was retrospectively analyzed before and after intervention. RESULTS： After intervention by clinical pharmacists， the antibacterial use density decreased from 47.02 DDDs/（100 persons·day） to 23.30 DDDs/（100 persons·day）， and the rate of perioperative use of antibacterial decreased from 82.40％ to 57.20％， with significant difference（P＜0.01）. The rationality of medication indicators for perioperative application of antibacterials for hysteroscope increased from 56.80％ to 82.52％； the rationality of medication duration increased from 49.51％ to 79.02％， with significant difference（P＜0.05）. CONCLUSIONS： Clinical pharmacist’s intervention is effective and feasible to perioperative application of antibacterials for hysteroscopic surgery. It could effectively promote the rational use of antibacterials.

关键词

临床药师围术期抗菌药物干预宫腔镜手术

Keywords

Clinical pharmacistPerioperative periodAntibacterialsinterventionHysteroscopic surgery

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Dept. of Pharmacy， Second Affiliated Hospital， Army Medical University

Dept. of Pharmacy， Chongqing Health Center for Women and Children/Women and Children’s Hospital of Chongqing Medical University

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