摘要
目的了解疝气修补术围手术期抗菌药物应用情况,为规范抗菌药物合理使用及加强规范化管理提供依据。方法回顾性分析2010年1-12月425例疝气修补术围手术期抗菌药物的使用,对其使用合理性进行评价。结果 425例疝气修补术患中,围手术期使用抗菌药物367例,使用率86.35%;使用频率最高的是第一代头孢菌素类156例占42.51%,其次是克林霉素类110例占29.97%;术前30min～2h使用抗菌药物307例,占83.65%,术后60例,占16.35%;单用抗菌药物359例,占84.47%,二联8例,占1.88%;抗菌药物不合理使用315例,占85.83%。结论应加强疝气修补术围手术期预防用药的规范化管理,促进抗菌药物的合理使用。
OBJECTIVE To understand the status of the use of antibiotics during the perioperative period of the hernia repair so as to provide the basis for the reasonable use of antibiotics and the standardized management.METHODS Totally 425 patient who underwent hernia repair from Jan to Dec in 2010 were investigated retrospectively,the rationality of the application of antimicrobial agents was evaluated.RESULTS Of 425 patients undergoing the hernia repair,there were 367 cases who used antibiotics during the perioperative period with the utilization rate of 86.35%;the most frequently used antibiotics was the first-generation cephalosporin which were used by 156 patients（42.51%）,followed by clindamycin which was used by 110 cases（29.97%）;there were 307（83.65%） patients who used antibiotics 30 min-2 h before the surgery and 60 cases who used antibiotics after the surgery.There were 359（84.47%） patients who used the single drug and 8（1.88%） patients who were with two-drug therapy.Totally 315 patients did not use antibiotics reasonably,accounting for 85.83%.CONCLUSION It is necessary to enhance the standardized management of prophylactic antibiotics during the perioperative period of hernia repair so as to promote the reasonable use of antibiotics.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第4期817-819,共3页
Chinese Journal of Nosocomiology
关键词
疝气修补术
围手术期
抗菌药物
调查分析
Hernia repair
Perioperative period
Antimicrobial drugs
Investigation and analysis
