综合干预对眼科抗菌药物使用强度调控的效果分析

Analysis the Effect of Comprehensive Intervention on Regulation of Antibiotics Use Density in Department of Ophthalmology

doi:
10.3969/j.issn.1674-9308.2016.13.110
摘要:
目的:探讨综合干预措施对眼科抗菌药物使用强度指标调控的影响,为眼科抗菌药物的合理应用提供依据。方法采用回顾性研究及追踪方法学(Tracer Methodology TM),调取我院眼科2015年6月~10月(干预组)和2015年11月~2016年2月(干预后组)所有病历,以限定日剂量(DDD)为单位,计算抗菌药物使用强度(AUD),对干预组抗菌药物使用强度居高不下的影响因素追踪分析,制定监测-培训-计划( Monitoring-Training-Planing, MTP)综合干预措施。结果经过综合干预,眼科住院患者AUD明显下降,由干预前的87.51下降到干预后的47.34,干预前、后差异有统计学意义(P<0.05)。结论 MTP综合干预是降低抗菌药物使用强度的有效途径,也是规范眼科抗菌药物合理使用的科学方法,经过综合干预医务人员合理使用抗菌药物水平有了进一步的提高。
Abstract:
Objective To explore the effect of comprehensive intervention measures on the regulation of antibiotics use density in department of ophthalmology, and to provide evidence for rational use of antimicrobial agents.Methods By retrospective study method and tracer methodology. All medical records in the Department of Ophthalmology of our hospital form June 2015 to October 2015 (before intervention group) and those form November 2015 to February 2016 (after intervention group) were collected and With defined daily dose (DDD) as the unit, the antibiotics use density(AUD) was calculated, and the inlfuence factors of the high AUD in the pre intervention group were tracing analyzed, formulated comprehensive intervention measures of monitoring-training-planing(MTP).Results After the comprehensive intervention, the AUD of hospitalized patients in Department of Ophthalmology was signiifcantly decreased, which decreased from 87.51 before the intervention to 47.34 after intervention,and the difference was statistically significant before and after intervention(P<0.05). Conclusion MTP comprehensive intervention is an effective way to reduce the AUD,and Is also a scientiifc method to regulate the rational use of antibiotics in the Department of Ophthalmology . through comprehensive intervention,the level of rational use of antibiotics in medical personnel has been further improved.
作者 刘伟峰    田继红
Author: LIU Weifeng    TIAN Jihong
作者单位 河南省禹州市中心医院药学部,河南 禹州,461670
刊 名: 中国继续医学教育  
年,卷(期) 2016, 8(13)
分类号 R9
关键词: 综合干预 知识脉络    抗菌药物使用强度 知识脉络    调控 知识脉络    效果分析 知识脉络   
Keywords: Comprehensive intervention    Antibiotics use density    Regulation    Effect analysis   
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