摘要
目的:了解我院外科Ⅰ类切口手术预防性应用抗菌药物的现状。方法:随机抽取我院2008年下半年外科Ⅰ类切口手术出院病历200例作回顾性分析。结果:外科Ⅰ类切口手术出院患者预防性抗菌药物使用率100%,预防应用的给药时机在术前0.5～2 h给药有111例(55.5%),术前>2 h给药有50例(25.0%),术中加用1次给药3例(1.5%),术前未用术后用药有39例(19.5%);头孢菌素类抗生素使用率最高,使用频率为295例次(83.8%)。结论:本院外科Ⅰ类切口手术预防性使用抗菌药物存在适应证广泛、选药起点过高、术前给药时机不当、术后用药时间过长的现象。我院应加强预防应用抗菌药物的管理,执行规范的围手术期抗菌药物的使用原则非常重要。
OBJECTIVE： To investigate the status quo of the utilization of the prophylactic antibiotics in patients undergoing Type I incision operation. METHODS ： A total of 200 discharge case histories of patients who had undergone type I incision surgery in the second half of 2008 in our hospital were retrospective analyzed. RESULTS： All patients received preventive antibiotics. 111 cases （55.5 % ） were given antibiotics 0.5 - 2h before the surgery, 50 cases （25.0 % ） 〉 2 h prior to the surgery, 3 cases （1.5%） received another dose during the operation, 39 cases （19.5%） received antibiotics postoperatively. Cephalosporins was the most frequently used antibiotics, which were used in 295 cases （83.8%）. CONCLUSION： The preventive application of antibiotics in our hospital is characterized by extensive indications, high startting point in drug choice, inappropriate medication time prior to surgery and prolonged administration after operation. Measures should be taken to tighten control on the preventive application of antimicrobial drugs, and it is of utmost importance to stick to the. standard perioperative utilization of antibiotics.
出处
《中国医院用药评价与分析》
2009年第10期741-742,共2页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
围手术期
预防性用药
抗菌药物
Ⅰ类切口手术
Perioperative period
Prophylactic medication
Antibiotic
Type Ⅰ incision operation
