摘要
目的:了解医院外科围手术期病人预防性应用抗菌药物的现状及合理性。方法:回顾性调查我院2005年11月～2006年4月期间施行不同手术的患者病历921份,分析围手术期抗菌药物的应用情况。结果:术前、后使用抗菌药物的分别占25.95%和99. 13%,仅4例患者未使用抗菌药物;术后单一用药和应用二联、三联抗菌药物的分别占49.73%、40.72%、7.93%;清洁手术患者平均使用抗菌药物9.79 d,清洁—平均使用抗菌药物8.90 d,术后使用抗菌药物超过3d者占92.04%。结论:住院患者围手术期抗菌药物使用存在不合理用药。
Objective： To know the present situation and evaluate the rationality on perioperative antibiotic prophylaxis in surgery.Methods： A retrospective survey on medical records of 921 patients who underwent different surgeries from November 2005 to April 2006 in our Hospital was taken,and antibiotic use during perioperative period was analyzed.Results： Only 4 cases did not use antibiotics.25.95% and 99.13% of all cases were given antibiotics before and after operation respectively.In terms of postoperative use,sigle drug consisted of 49.73%,two-drug 40.72% and three-drug 7.93%.The mean duration of antibiotic therapy was 9.79 days for the patients receiving aseptic operation and 8.90 days for those receiving contaminative operation.92.4% of the patients after aseptic or contaminative operation were treated with antibiotics for 3 days or more.Conclusion： Irrational drug use in perioperative antibiotic exits.
出处
《中国医药导刊》
2009年第1期64-66,共3页
Chinese Journal of Medicinal Guide
关键词
抗菌药物
围手术期
合理用药
Antibiotics
Perioperative period
Rational drug use
