摘要
目的:探讨清洁手术预防使用抗菌药物的基本情况。方法:用回顾性调查的方法对我院3种清洁手术进行分析。结果:125例患者抗菌药物使用率为100%;使用抗菌药物种类为第一代头孢菌素98例次(75.38%);第二代头孢菌素25例次(19.23%);总预防用药时间≤3 d 37例(29.60%)、>3 d 88例(70.40%);术前0.5～2 h给药的113例(90.40%);二联用药5例(4.00%)。结论:我院Ⅰ类切口手术患者围手术期预防性应用抗菌药物存在指征把握不严、疗程过长、选药起点偏高等不合理现象,有待进一步加强抗菌药物规范化使用的管理。
Objective：To understand the basic situation of prophylactic antimicrobials use in clean operations.Methods：By the retrospective investigation method,the medical records for 3 kinds of clean operations in our hospital were analyzed.Results：The use rate of prophylactic antimicrobials in 125 patients was 100%.The type of antimicrobial drugs was the first generation cephalosporins in 98 cases,accounting for 75.38%,and the second generation cephalosporins in 25 cases,accounting for 19.23%.The total preventive medication time was≤3 d in 37 cases（29.60%） and 3 d in 88 case（70.40%）.The drug administration at preoperative 0.5~2 h was in 113 cases（90.40%.The combination use of two antimicrobials was in 5 cases（4%）.Conclusion：The unreasonable preventive medication problems in type Ⅰincision operations during the perioperative period exist,including inexactly grasping indications,too long course of medication and higher starting point for selecting drugs,which needs to further enhance the management and standardization of preventive antimicrobials use.
出处
《现代医药卫生》
2011年第24期3711-3713,共3页
Journal of Modern Medicine & Health
关键词
清洁手术
围手术期
预防用药
抗菌药物
调查分析
Clean operation
Perioperative period
Preventive medication
Antimicrobials
Investigation and analysis
