The Correlation Between the Duration of

• Main Authors: ch'iu yen hua, 邱彥華
• Other Authors: yang han ch'üan
• Format: Others
• Language: zh-TW
• Published: 2007
• Online Access: http://ndltd.ncl.edu.tw/handle/91773966917052152387

碩士 === 亞洲大學 === 健康管理研究所 === 95 === In the To Overcome Antibiotic Resistance report, 2000, WHO pointed out that the misuse and abuse of antibiotic throughout the world is severe. There are around 2.69 million to 2.99 million hospitalized patients per year, and 62% to 64.6% of which were prescribed antibiotics. The duration of the antibiotic prophylaxis application in clinical medical care has long been neglected, which also causes the exploitation of the medical resources. Therefore, promoting the responsible usage of antibiotic prophylaxis has become an important task in elevating the quality of medical services. Nonetheless, there isn’t much research with regards to the correlation between the infection rate and the duration of antibiotic prophylaxis application. Hence, it deserves our further attention and studies. Objective: In order to understand the influence of the duration of the antibiotic prophylaxis application on the infection rate in different participating hospitals from the Taiwan Quality Indicator Project (TQIP), through series of analysis and research. Method: In this thesis, the infection rates marked II-a and II-b in surgeries such as coronary bypass operation, abdominal hysterectomy, hip arthroplasty, and knee arthroplasty are analyzed in TQIP participating hospitals from 2004 through 2006. Result: 1) Most hospitals apply antibiotic prophylaxis an hour before the surgery. 2) The post-surgery infection rate does not fluctuate due to the timing of the antibiotic prophylaxis. 3) Hospitals in different categories have all come close to the reasonable TQIP threshold. Discussion: Appropriate usage of antibiotic prophylaxis can advance the quality of medical service. The effectiveness of monitoring infection rate index refines the hospital’s organizational behavior, and improves the doctor’s conduct in prescription. In order to promote the quality of medical services, TQIP offers not only a monitoring mechanism which is based on practical foundation, but also a standard for domestic hospitals and foreign ones alike. It is recommended that the hospitals keep monitoring the timing and duration of antibiotic prophylaxis, as well as the infection rate; all related agencies and government authorities should focus on the effectiveness of the antibiotic prophylaxis, and establish a thorough guideline and protocol.