摘要
目的调查唐山市丰润区人民医院Ⅰ类切口手术围术期预防性应用抗菌药物的情况,提高抗菌药物的合理应用水平。方法回顾性分析唐山市丰润区人民医院于2012年1～10月出院的264例Ⅰ类切口手术患者围术期预防性应用抗菌药物的情况。结果纳入调查的264例患者中,抗菌药物预防性应用率高达97%,不合理用药现象主要表现为抗菌药物涉及五大类,19个品种,头孢菌素类使用频次最高,占72.7%(192/264),使用频次最高的品种为头孢替安,初次给药时间为术前0.5～2 h者有70例,占26.5%,术前未使用而术后使用136例,占51.5%(136/264);术后单一用药232例,占87.9%,二联用药18例,占6.8%,无三联以上用药。结论唐山市丰润区人民医院Ⅰ类切口手术围术期预防性应用抗菌药物存在较多问题,亟待加强规范化使用抗菌药物的管理和培训。
Objective To investigate the peri-operition utilization of prophylactic antibiotics in patients undergoing type Ⅰ incision operations in Fengrun People Hospital and improve the rationality of the antibiotic use.Methods Retrospective analysis on the peri-operition utilization of prophylactic antibiotics in 264 patients（during January to October of 2012） undergoing type Ⅰ incision operations was done.Results Among the 264 patients,the rate of prophylactic use of antimicrobials was 97%.The irrational phenomena mainly involve 19 drugs of five categories;cephalosporins were most frequently used,accounting for 72.7%（192/264）,the most frequent species used was cefotiam,including 70 cases（26.5%） of administration at 0.5-2 h before surgery and 136 cases（51.5%） of postoperative administration;there were 232 cases of postoperative use of single drug,accounting for 87.9%,18 cases of double drugs,accounting for 6.8%,and there was no usage of three or more drugs.Conclusion Irrational phenomena were noted in prophylactic antibiotic use for patients undergoing type Ⅰ operations in our hospital,which calls for immediate and intensified management and training in standard antibacterial use.
出处
《医学综述》
2013年第16期3021-3023,共3页
Medical Recapitulate
关键词
Ⅰ类切口手术
预防性应用
抗菌药物
Type Ⅰ incision operation
Prophylactic use
Antibacterial medicine
