期刊文献+

卵巢囊肿患者围手术期抗菌药物使用调查分析 被引量:3

Investigation and analysis of perioperative use of antimicrobial drugs in patients with ovarian cysts
下载PDF
导出
摘要 目的:了解妇科卵巢囊肿手术患者围手术期预防性使用抗菌药物的情况。方法:回顾性分析2011年1–6月某院卵巢Ⅰ类手术切口患者预防性使用抗菌药物的情况,对其合理性进行分析、评价。结果:174例患者预防性抗菌药物使用率为100%,无感染病例发生;抗菌药物使用频次由高到低依次为:硝基类、二代头孢、青霉素类;预防性抗菌药物二联使用率为81.03%;预防性用药多在术前>2 h和术后使用;术后持续用药时间>48 h的患者占82.76%;手术持续时间<2 h术后仍用药的患者占87.93%。结论:某院妇科卵巢Ⅰ类手术切口预防性使用抗菌药物存在不合理现象:妇科Ⅰ类切口围手术期用药指征控制不严;用药品种掌握不合理;围手术期预防性抗菌药物联用现象频繁;围手术期预防性使用抗生素的时机选择不当;手术后预防性使用抗生素的时间过长;手术时间较短患者术后不宜给药;应进一步加强围手术期预防性使用抗菌药物的监督和管理,规范卵巢Ⅰ类手术切口围手术期抗生素的预防性应用。 Objective: To comprehend the application of preventive antimicrobials in perioperative period in the gynecology patients with ovarian cyst surgery.Methods: The application and rationality of preventive use of antimicrobials in the patients with ovarianⅠtype incision were retrospectively analyzed and evaluated from January to June in 2011.Results: The utilization rate of preventive antimicrobials in 174 patients was 100%.There was no infection case.The use frequencies of antimicrobials in an order from high to low were nitro,the second-generation cephalosporins and penicillins.The rate of combination use of two kinds of prophylactic antimicrobials was 81.03%.Most of preventive antibiotics had been taken more than 2 hours before surgery or after surgery.The rate of taking antibiotics more than 48 hours after surgery was up to 82.76% among all the patients.The rate of using antibiotics after the surgery in patients with surgery duration less than 2 hours was 87.93%.Conclusion: There were several irrational phenomenons on use of preventive antimicrobials in the patients with ovarianⅠtype incision.The medication indications of preventive antimicrobials in surgery of gynecologicalⅠtype incision had not been controlled strictly.The selection of preventive antimicrobials was not reasonable.Perioperative combination use of prophylactic antimicrobials was too frequent.The medication time of perioperative prophylactic antibiotics was inappropriate.The course of taking prophylactic antibiotics after surgery was too long.The patients with the simple and short-time operations were not appropriate to take antibiotics after surgery.So we must strengthen the supervision and management of the perioperative prophylactic use of antimicrobials,and regulate the use of prophylactic antibiotics in ovarianⅠtype incision surgery in perioperative period.
出处 《中国药物应用与监测》 CAS 2011年第6期375-378,共4页 Chinese Journal of Drug Application and Monitoring
关键词 卵巢囊肿 围手术期 抗菌药物 Ovarian cyst Perioperative period Antibiotics
  • 相关文献

参考文献4

二级参考文献21

  • 1王淑洁,徐燕侠,王海莲,王育琴,陈莲珍,王力红,姜萍,石海鸥,张京利.妇科围手术期抗菌药物合理应用的干预对照研究[J].中华医院感染学杂志,2005,15(7):795-798. 被引量:51
  • 2无.围手术期预防应用抗菌药物指南[J].中华外科杂志,2006,44(23):1594-1596. 被引量:844
  • 3黎沾良.围手术期抗菌药物的预防性应用[J].医学研究杂志,2007,36(4):7-8. 被引量:157
  • 4May AK,Fleming SB,Carpenter RO,et al.Influence of broad-spectrum antibiotic prophylaxis on intracraninl pressuremonitor infections and subsequent infectious complications inhead-injured patients[J].Surg Infect(Larchmt),2006,7(5):409.
  • 5[2]Polk HC Jr, Christmas AB. Prophylactic antibiotics in surgery and surgical wound infections[J]. Am Surg ,2000,66(2): 105.
  • 6[10]Song F, Glenny AM. Antimicrobial prophylaxis in colorectal surgery: a systematic review of randomized controlled trails [ J ]. Br J Surg,1998,85(9) :1 232.
  • 7中华人民共和国卫生部.抗菌药物临床应用指导原则[S].卫医发[2004]285号.
  • 8中华人民共和卫生部.卫生部办公厅关于抗菌药物临床应用管理有关问题的通知[S].卫办医发[2009]38号.
  • 9崔喜凤,李秀琴.住院患者抗菌药物应用分析[J].中国医院用药评价与分析,2007,7(4):266-268. 被引量:5
  • 10李大魁,盛瑞媛,主编.澳大利亚抗生素治疗指南.北京:中国医药科技出版社,2001.150-160.

共引文献37

同被引文献16

引证文献3

二级引证文献4

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部