摘要
目的探讨医院感染控制政策干预在改善围术期抗菌药物预防性应用(PAP)中的作用。方法上海市医院感染质量控制中心(SICC)于2002年开始对监测网70所二甲以上医院PAP情况进行督查,规定PAP≤3 d;2004年开始要求PAP带入手术室,SICC每年对监测网医院PAP情况评分,未达要求者被扣分、点名批评、责令限期整改等;汇总2002-2007年SICC抽查及监测网医院自查数据,统计分析PAP手术室带入率及PAP>3 d比例逐年变化情况。结果 PAP手术室带入率逐年增高,从2004年的平均44.9%升至2007年的平均90.3%,PAP>3 d的比例逐年降低,从2002-2003年的80.8%降至2007年的43.0%,平均使用天数从6.9 d减少至4.0 d,平均减少2.9 d。结论 SICC的医院感染控制政策干预能有效促使PAP带入手术室,缩短预防性应用天数,促进围术期抗菌药物的合理应用。
OBJECTIVE To investigate the effect of infection control policy in the intervention of perioperative antimicrobial prophylaxis（PAP）. METHODS Shanghai Infection Control Center（ SICC） routinely supervised PAP of 70 network hospitals, requiring that the drug should not be used for more than 3 days from 2002 and be brought to the operating room from 2004. The hospitals would get less scores and be punished if they failed the requirements. Data was collected from the hospitals and analyzed the brought-in rate that drug was used for more than 3 days. RESULTS The brought-in rate increased yearly from 44.90/00 in 2004 to 90.3% in 2007. The ratio of antibiotics used for more than 3 days decreased year by year from 80.8% in 2002 to 43.0% in 2003. And the mean days of PAP decreased 2. 9 days from 6. 9 in 2002~2003 to 4.0 in 2007. CONCLUSIONS The infection control policy intervention of SICC promotes the reasonable antimicrobial use, encourages the drug be brought in the operating room and shorten the preventive days.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第12期1776-1778,共3页
Chinese Journal of Nosocomiology
关键词
政策
干预
围术期
抗菌药物
Policy
Intervention
Perioperative
Antimicrobial agents
