摘要
目的：了解我院Ⅰ类切口手术围术期预防性应用抗菌药物情况,为加强抗菌药物临床使用管理工作提供参考.方法：采用回顾性调查方法,对2013年7-9月我院665例Ⅰ类切口手术出院患者围术期预防性应用抗菌药物情况进行统计和分析.结果：Ⅰ类切口手术围术期抗菌药物使用率为42.86％（285/665）,术前0.5～2h内给药率为85.26％（243/285）,平均用药疗程为2.31 d,使用的抗菌药物主要有头孢呋辛、头孢唑肟、美洛西林、头孢替安等.结论：我院Ⅰ类切口手术围术期预防性应用抗菌药物仍存在不合理之处,主要表现为指征把握不严、预防使用率高、抗菌药物选择不合理、给药时间不当、用药疗程长、不合理联合用药等.需进一步加强Ⅰ类切口手术围术期预防性应用抗菌药物的监督和管理.
OBJECTIVE：To investigate the perioperative prophylactic use of antibiotics in patients undergoing type Ⅰ incision operation in our hospital for reference of intensifying management on clinical use of antibiotics.METHODS：The perioperative prophylactic use of antibiotics in a total of 665 discharged patients undergoing type Ⅰ incision operation from July to September in 2013 in our hospital were statistically analyzed.RESULTS：The rate of perioperative prophylactic use of antibiotics in the patients undergoing type Ⅰ incision operation was 42.86％ （285/665） ; 85.26％ （243/285） received antibiotics 0.5-2 hours before operation ; the antibiotics were used for an average of 2.31 days.The predominantly used antibiotics included cefuroxime,ceftizoxime,mezlocillin and cefotiam etc.CONCLUSION：The perioperative prophylactic use of antibiotics in the patients undergoing type Ⅰ incision operation in our hospital was irrational in some aspects,which manifested as high non-strict mastering of indications,high rate of prophylactic use of antibiotics,irrational choice of drugs,improper in administration timing and duration or improper in drug combination.It is urgent to further strengthen supervision and management on the perioperative prophylactic use of antibiotics in patients undergoing Ⅰ incision operation.
出处
《中国医院用药评价与分析》
2014年第2期129-131,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
Ⅰ类切口手术
抗菌药物
预防性用药
围术期
Type Ⅰ incision operation
Antibiotics
Prophylactic use
Perioperative period
