摘要
目的:了解九江学院附属医院(以下简称"我院")剖宫产术围术期抗菌药物预防性应用情况,为促进医院抗菌药物的合理应用提供依据。方法:采用回顾性方法,对2017年1月至2018年1月我院489例剖宫产术围术期预防性应用抗菌药物的情况进行统计分析。结果:489例剖宫产术围术期均预防性应用了抗菌药物;预防用药主要涉及头孢西丁、头孢唑林和克林霉素,其中联合用药2例(占0.41%);预防性用药持续时间≤48 h的有217例(占44.38%);术前30 min给药的有384例(占78.53%);术中夹脐给药的有105例(占21.47%);术中均无追加剂量。结论:我院剖宫产术围术期预防性应用抗菌药物基本合理,但仍存在药品选择不合理及使用时间过长等问题,应进一步加强管理和培训。
OBJECTIVE: To investigate the preventive application of antibiotics in cesarean section during perioperative period in Affiliated Hospital of Jiujiang College(hereinafter referred to as "our hospital"), so as to provide basis for promoting the rational application of antibiotics in hospitals. METHODS: Retrospective method was used to analyze the preventive application of antibiotics in 489 cases of cesarean section in our hospital from Jan. 2017 to Jan. 2018. RESULTS: Totally 489 cases of cesarean section were prophylactically applied antibiotics during perioperative period. The preventive medication mainly involved cefoxitin, cefazolin and clindamycin, of which 2 cases were combined(0.41%). The duration of preventive medication was less than 48 h in 217 cases(44.38%). Totally 384 cases(78.53%) were administered 30 min before surgery, 105 cases(21.47%) were administered intraoperatively, and no additional dose was given during the operation. CONCLUSIONS: The preventive application of antibiotics in cesarean section during perioperative period in our hospital is basically rational, yet there are still problems such as irrational drug selection and long application time, therefore, further management and training should be strengthened.
作者
杨少林
朱玉华
彭桂清
夏晶
YANG Shaolin;ZHU Yuhua;PENG Guiqing;XIA Jing(Dept.of Pharmacy,Affiliated Hospital of Jiujiang College,Jiangxi Jiujiang 332000,China)
出处
《中国医院用药评价与分析》
2019年第3期342-344,347,共4页
Evaluation and Analysis of Drug-use in Hospitals of China
基金
江西省卫生计生委科技计划项目(No.20185537)
关键词
抗菌药物
剖宫产术
围术期
预防用药
Antibiotics
Cesarean section
Perioperative period
Preventive application of drugs
