摘要
目的了解骨科围手术期抗菌药物应用情况,为加强抗菌药物的合理使用和规范管理提供依据。方法随机抽取308份骨科清洁手术患者病历资料,对围手术期预防性使用抗菌药物的合理性进行评价。结果308例围手术期患者全部使用了抗菌药物,使用率为100.00%,共涉及7类18种,平均使用(2.07±0.75)种;术前30 min^2 h使用抗菌药物占84.74%,抗菌药物平均使用(6.07±2.64)d,72.40%的患者在用药期间更换了品种。结论清洁手术围手术期抗菌药物使用存在用药时间过长、品种更换频繁等问题,需进一步规范管理,促进抗菌药物合理使用。
OBJECTIVE To understand the situation of application of antibaeterials in perioperative period in Department of Orthopedics, in order to find evidence for strengthening the rational, use and standard management of antibacterial. METHODS A total of 308 cases with orthopedic clean-operations were randomly selected for the analysis of rationality of application of antibiotic prophylaxis in perioperative period. RESULTS All of the 308 patients were given antibiotics in perioperative period. And 18 kinds of drugs from 7 categories were used, the average kinds used were （2.07±0. 75 ）. The patients started antibiotic administration within 0.5-2 hours before operation accounted for 84.74%0. The average time of antibiotic using was （6.07±2.64） days. 72.40% patients in medication period used more than one kind drugs. CONCLUSIONS There are some problems in applidation of antibacterials in orthopedic clean-operations during perioperative period, such as too long-term use of antibiotics, frequent changes and so on, It is necessary to strengthen the management and improve the rationality of application of antibaeterials.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2008年第11期1615-1616,共2页
Chinese Journal of Nosocomiology
关键词
围手术期
抗菌药物
调查分析
Perioperative period
Antibacterial
Survey and analysis
