| Research PurposeThrough the survey ICU antibiotic use our skin sensitive test execution when the present situation and nurse to skin sensitive test the master degree of knowledge and skill, and found that antibiotic use our safety factor, for the safety of the antibiotics do use, regulate the skin sensitive test method of antibiotics, and provide scientific basis.Research methodsThe retrospective survey research methods, Collect from 1 July 2006 to 31 July 2009 in comprehensive critical intensive care ward (ICU) use of antibiotics hospitalized patients with a total of 1060 patients of relevant material, to survey analysis, The content mainly includes antibiotics before using the skin test coverage, and drug specifications and after the coincidence of the drug allergic reaction rate, etc.Using the research methods of investigation status, a cluster sampling design, from our all-around-doctors an, general surgery, in each of the hospital clinical a line of each nurse award from the nurse for investigation object, by his own design questionnaire survey, nurse drug safety awareness, knowledge antibiotics to skin test the master degree of technology. At the same time to collect our whole institutes nurses (except clinics, operating rooms, supply room) 2009 annual commonly used in nursing technology assessment skin test operation test scores, and make comprehensive analysis.In a related factor analysis after finishing the single factor, many factors unconditional logistic regression analysis.The main results1. Use antibiotic sensitivity tests before the skin coverage:64.65%.On July 1, 2006 to July 31,2009, our use of antibiotics in ICU patients with a total of 1060 patients, Each patient in the hospital simultaneously or successively antibiotic use 1～ 6 kinds, an average of 3.87, Use antibiotic sensitivity tests before the skin coverage is 64.65%。2. Antibiotic sensitivity tests and corresponding skin medicines the accuracy of test requirements:in all the above antibiotic sensitivity tests before the skin of the cases, antibiotic sensitivity tests and corresponding skin test requirements of the medicines was 100%.3. Allergic reaction rate:3 years in our ICU patients in hospital sensitive skin test the antibiotics negative after an allergic reaction to the investigation, The results show that, after an allergic reaction to the total rate is 1.27%。Both present skin rash, did not see the anaphylactic shock occurred。one cefoperazone/sulbactam allergic reaction to a rate of 4.76%; miner cephalosporins is 0.5%; Imipenem id 0.97%; quNa ammonia is 5.56%; levofloxacin is 2.13%。The rest of the antibiotic applied after the did not find the allergic reaction.4. Antibiotic drug safety knowledge penetration rate:In our hospital, general surgery, an intensive all-around-doctors clinical nurse a line drawn 108 investigation, the results indicate, A line of our clinical nurse antibiotic drug safety knowledge the prevalence rate of 86.82%。From the questionnaire to see each item, The nurse to cephalosporin drugs skin sensitive test method, the configuration of liquid concentration, injection in the skin anaphylactic shock dose and judgement and rescue program is generally good master, And for antibiotics relevant knowledge, the skin is sensitive test meaning and function of risk in the process of drug use and master is not clear; From education to see, College degree or above nurse safe use of antibiotics to master the knowledge is superior technical school nurse; From the work time perspective, work above 3 years for the safe use of antibiotics nurse to master the knowledge was better than work within three years of the nurse; Judging from the title of the junior &senior, to master the knowledge was better than the nurse combination and competent junior &senior above group; Different department of nurse safe use of antibiotics to master the knowledge related no statistically significant differences.5. The nurse skin test skill and operation qualified:Collect on assessing the nurse skin test operation test scores, altogether collected in 432 cases, test scores more than 85 points for qualified nurse, and the results show that the skin test skill and operation percent of pass is 100%.Research conclusion1. Our former antimicrobial use whether skin sensitive experiment, Based on drug use manual, In accordance with the relevant requirements for the operation, In line with norms and has some of the legal effect, in medical disputes can avoid some of the legal risks。2. Our former chief of antimicrobial use to penicillin and the antibiotics cephalosporin antibiotic sensitivity tests on the skin, And for other new (3-lactams antibiotics are not sensitive skin test3. Cephalosporin antibiotic sensitivity tests skin use original configuration, This practice and the 2008 Beijing "cephalosporin antibiotic drugs skin sensitive test high-end BBS" China's domestic consensus of experts agree.4. Cephalosporin antibiotic skin sensitive skin test of the test of liquid concentration is 1000ug/ml, Injection in the skin 0.05ml, Domestic most hospital skin test liquid concentration is 300-500ug/ml, Injection in the skin 0.1 ml,It is not the same。Although the final into the skin of the antibiotics is same, But can't determine the size of the skin for skin sensitive test whether the result is having an impact, This practice lacks theory basis.5. The skin is sensitive test negative treating patients appear after the incidence of allergic reactions with domestic most the results of the study is similar.6. Nurse injected operation skills of skin master is better, Antibiotics and skin sensitive test theory knowledge master relatively inadequate, The nurse of different levels between the knowledge of also is uneven, Waits for system training, Especially must strengthen low qualification nurses and assistant position, such as general affairs nurse knowledge training。... |
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