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.
Key words
type I incision surgery /
perioperative period /
antimicrobics /
prophylaxis /
intervention
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