摘要
目的了解我院骨科围手术期抗菌药物的应用情况。方法随机抽取我院2007年1月到8月骨科手术病例280例,填写患者基本情况和用药情况调查表,对数据进行统计、分析。结果Ⅰ类切口手术预防用药率高达100%,其中17.4%属无指征用药;280例患者中,用药合理者占34.28%;不合理用药因素位居前3位者分别为术后用药时间过长、手术>3h未追加使用抗菌药物、选药档次过高。结论本院骨科围手术期使用抗菌药物尚存在诸多问题,亟需加强规范化管理。
Objective To investigate the rationality of application of antibiotic prophylaxis in perioperative period in Department of Orthopedics. Methods A total of 280 patients with perioperative administration of antibiotics during Jan-Aug 2007 were included for the clinical analysis of rationality use of the drugs. Results 100% patients with I kind operative incision had received antimicrobials for prevention. Conclusions It is necessary to strengthen the management of preventive antimicrobial in orthopedic patients during perioperative period.
出处
《中国医药指南》
2009年第11期11-13,共3页
Guide of China Medicine
关键词
骨科围手术期
抗菌药物
合理使用
Perioperative orthopedic
Antimicrobial drugs
Rational use
