摘要
目的:分析Ⅰ类切口手术围手术期抗菌药物的合理使用与手术切口感染发生的关系,为临床合理使用抗菌药物提供循证依据。方法:按照Ⅰ类切口手术围手术期抗菌药物预防应用标准和手术切口感染诊断标准,调查我院637例Ⅰ类切口手术围手术期抗菌药物的合理使用与手术切口感染情况。结果:354例Ⅰ类切口手术患者未使用抗菌药物,均未发生手术切口感染。在应用抗菌药物的283例Ⅰ类切口手术患者中,1例发生手术切口感染,手术切口感染率为0.35%。结论:Ⅰ类切口手术一般不需使用抗菌药物;确需使用时,合理应用抗菌药物既能有效预防手术切口的感染,又能保障患者用药安全及减少细菌耐药性。
Objective ：To analyze the relationship between the rational use of antimicrobial agents for the operation of type Ⅰ incision during perioperation and the surgical incision infections so as to provide the basis for the rational use of antimicrobial agents. Methods：According to the standard for the prophylactic use of antimicrobial drugs in the operation of type Ⅰ incision during perioperation and the diagnosis standard of surgical incision infection, the situation of reasonable use of antimicrobial drugs and surgical incision infection of 637 cases in our hospital was investigated. Results：Among 354 patients who were given operations of type Ⅰ incision without using antimicrobial agents, no surgical incision infections were found. In 283 cases of the surgical operations of type Ⅰ incision using antimicrobial agents, there is one case of surgical incision infection with 0.35% of surgical incision infection rate. Conclusion：For the operations of type Ⅰ incision antibacterial agents were generally not needed. When necessary, the rational use of antimicrobial agents can effectively prevent surgical incision infections and also ensure the safe drug use in patients and reduce bacterial resistance.
出处
《中国执业药师》
CAS
2012年第7期10-13,共4页
China Licensed Pharmacist
关键词
Ⅰ类切口手术
抗菌药物
感染率
Operation of Type Ⅰ Incision
Antimicrobial Agents
Infection Rate
