摘要
目的了解医院Ⅰ类切口手术患者预防性使用抗菌药物的情况,加强抗菌药物的使用管理。方法采用回顾性调查方法,随机抽取2007年3至12月某院Ⅰ类切口手术患者300例,填写患者基本情况和用药情况调查表并进行统计分析。结果300例Ⅰ类切口手术患者中288例使用了抗菌药物,使用率为96.00%;术前2h内用药者占26.33%,术后用药者占15.00%;用药时间超过3d者占65.33%;单一用药者占64.00%,二联用药者占30.00%。结论该院Ⅰ类切口手术患者预防性使用抗菌药物存在指征把握不严、抗菌药物品种档次高选、用药时机不当以及过度用药等问题,有待进一步规范化管理。
Objective To analyse the prophylactic antibiotics use for perioperative patients with type Ⅰ incision operation for strengthening the management of prophylactic antibiotics use. Methods 300 perioperative patients with type Ⅰ incision operation were sampled randomly from Mar. to Dec. 2007 in a hospital. The general data and medication of the patients were analyzed statistically based on the Guiding Principle of the Clinical Application of Antibacterials. Results Among all the 300 cases, 288 cases were used antibaeterials for prophylaxis, the use rate was 96. 00%. The application ratios of antibacterials use 2 h before operation and after operation were 26.33% and 15.00% respectively. 65.33% of patients were treated by antibiotics beyond 3 d. There were 64.00% for one drug use and 30.00% for two antibacterials use. Conclusion There are some problems in the prophylactic antibiotics use for perioperative patients with type I incision operation in this hospital, such as the irrational indications of drug use, the high selection of prophylactic drug use, improper time of drug use, and the prolonged continuous drug use, which require strengthening the standardized management for prophylactic antibiotics use.
出处
《中国药业》
CAS
2009年第17期36-37,共2页
China Pharmaceuticals
关键词
Ⅰ类切口
抗菌药物
预防用药
调查分析
type Ⅰ incision
antibacterials
prophylactic use of drug
investigation and analysis
