摘要
目的探讨Ⅰ类手术切口预防性使用抗菌药物的合理性。方法采用回顾性调查方法,对医院783例Ⅰ类手术切口病例的预防性抗菌药物使用品种、联合用药指征、用药频度、用药时间及使用疗程等进行应用调查分析。结果 783例Ⅰ类手术切口患者,698例预防性使用抗菌药物,用药率为89.2%,涉及7大类18种,其中一联用药459例,占65.7%,二联用药196例,占28.1%,三联用药43例,占6.2%。结论医院Ⅰ类手术切口预防性使用抗菌药物存在不规范、不合理现象,必须加强合理应用抗菌药物管理,强化规范使用抗菌药物的重要性,防止过渡医疗现象发生。
OBJECTIVE To explore rationality of prophylactic use of antibiotics for type Ⅰ surgical incision.METHODS By means of retrospective survey,the types,the indications of combined use,medication frequency,the duration and the therapy course of prophylactic antibiotics for 783 cases with type Ⅰ surgical incision were investigated and analyzed.RESULTS Of 783 patient with type Ⅰ surgical incision,there were 698 cases who used prophylactic antibiotics with the use rate of 89.2%,involving 18 types of 7 categories,among which single-drug accounted for 65.7%（459 cases）,two-drug accounted for 28.1%（196 cases）,three-drug accounted for 6.2%（43 cases）.CONCLUSION The prophylactic use of antibiotics for the type Ⅰ surgical incision is so irrational and unreasonable that it is necessary to strengthen the management of reasonable use of antibiotics and intensify the significance of standardized use of antibiotics so as to prevent the excessive use of antibiotics.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第17期3833-3835,共3页
Chinese Journal of Nosocomiology
关键词
Ⅰ类手术切口
围手术期
预防用药
抗菌药物
Type Ⅰ surgical incision
Perioperative period
Prophylactic use of antibiotics
Antibiotics
