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骨科Ⅰ类切口手术预防性使用抗菌药物调查与分析 被引量:25

Review of Prophylactic Use of Antibiotics in Orthopaedic Patients with Type Ⅰ Incision
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摘要 目的:了解我院骨科病房预防性使用抗菌药物情况。方法:提取2008年11月~2009年1月出院的157例骨科Ⅰ类切口手术病历,对数据进行统计分析。结果:157份病历中使用至少1种抗菌药物的病历154份,使用率达98%,所用药品主要集中在头孢匹胺、拉氧头孢、头孢呋辛、头孢尼西和复方头孢克洛干混悬剂等几个品种,存在术前过早用药,术后用药时间过长,高起点等不合理现象。结论:医院应制定一套切实可行的围手术期预防性应用抗菌药物方案和评价标准,加大监管力度。 OBJECTIVE: To study the prophylactic use of antibiotics in orthopaedic patients of our hospital. METHODS: A total of 157 orthopaedic patients with type I incision who discharged from our hospital between Nov. 2008 to Jan. 2009 were collected for statistical analysis of the consumption data of antibiotics. RESULTS: Of the total 157 cases,154 (98% ) received at least one kind of antibiotics,chiefly Cefpiramide,Latamoxef,Cefuroxime, Cefonicid,Compound Cefaclor for Suspension. Irrational use of antibiotics were noted which was characterized by premature use of antibiotics prior to operation,prolonged used postoperatively and high start point etc. CONCLUSION: It is urgent to for hospital to tighten control on the use of antibiotics such as by establishing a set of feasible criteria for evaluation of perioperative use of antibiotics.
出处 《中国医院用药评价与分析》 2010年第3期207-209,共3页 Evaluation and Analysis of Drug-use in Hospitals of China
关键词 骨科 抗菌药物 预防使用 调查分析 合理用药 Orthopaedics Antibiotics Prophylactic use Review Rational use
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