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基层医院外科围手术期抗生素预防性应用分析 被引量:6

Analysis of perioperative use of Prophylactic antibiotics in a hospital
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摘要 目的:评价佛山市南海区狮山镇小塘医院外科围手术期抗生素的应用现状。方法:随机抽取2008年1~9月该院外科手术病例425例,依据《抗菌药物临床应用指导原则》,调查围手术期抗生素的预防性应用情况。结果:该院外科围手术期抗生素应用率达100%;术前0.5~2.0h应用抗菌物占63.53%,术后应用抗生素占100%,抗生素平均应用时间为11.3d,最长达26d。应用的抗生素有6类共22种,其中口服药6种,注射剂16种。结论:该院外科围手术期抗生素应用率偏高、预防性用药疗程过长;各类手术预防用药指征不明确,联合用药比例过高;用药目的和针对性不强,亟待实施规范化管理。 Objective: To study the perioperative use of prophylactic in our hospital. Methods: 425 surgery patients were sampled randomly from Apr. to Aug. 2008 in a hospital and investigated in respect of the perioperative use of prophylactic antibiotics based on the Guiding Pinciple of the Clinical Application of Antibacterials. Results: The usage of perioperative use of antibiotics accounted for 100%, the application ratio of antibiotics in depuratory operation was 63.53%, and were 100% in other kinds of surgeries. The application ratios of antibacterials 0.5-2.0 h before surgery and after operation stood at 63.53% and 100%, respectively. The duration of antibiotic use was 11.3 d, with a maximum of 26 d. Using the antibiotics has 6 kinds of altogether 22 kinds, in which mouth takes medicine 6 kinds, the injection 16 kinds. Conclusion: The results show that the rate of application rate of atibiotions in this hospital is on the high side, the duration of prophylactic drug usage was too long; the preventive medication indications were unclear and the drug use was lack of special aim, the management on which remains to be standardized.
作者 欧阳谨 熊健
出处 《中国当代医药》 2009年第8期53-55,共3页 China Modern Medicine
关键词 围手术期 抗生素 预防 调查分析 Perioperative Antibacterials Prevention Investigation and analysis
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