摘要
目的了解某医院的甲状腺手术、乳腺手术、疝气修补术3种清洁手术预防性使用抗菌药物的情况,评价其合理性,为临床合理应用抗菌药物提供依据。方法回顾性调查3种清洁手术病例104例,填写患者基本情况和抗菌药物使用情况调查表,对预防用药适应证、用药品种、联合用药、给药时机及持续时间进行统计分析。结果 3种清洁手术均预防性使用抗菌药物,使用率为100%;使用的抗菌药物涉及6大类10个品种,居前三位的品种依次为头孢硫脒35例次(30.7%)、萘夫西林26例次(22.8%)、头孢唑啉12例次(10.5%);术前2h内首次使用抗菌药物有88例(84.6%),术后首次用药者16例(15.4%);术后用药时间>3 d者50例(48.1%);单一用药者100例(96.2%),二联用药者4例(3.8%)。结论该院3种清洁手术预防性用药仍存在指征把握不严、抗菌药物品种高选、用药时机不当及疗程过长等问题,有待进一步规范化管理。
Objective To evaluate the perioperative utilization of antibiotics in type I incision patients（thyroidectomy,adenomammectomy and hernia repair）.Methods By retrospectively study,the operation histories of 104 patients were analyzed.Results 100% of the patients with type I incision received antimicrobial prophylactically.The top 3 antimicrobial agents on the DDDs list were cefathiamidine（35cases,30.7%）,nafcillin（26cases,22.8%） and cephazolin（12 cases,10.5%）.The 2 h of preoperative first time used antibacterial 88 cases（84.6 %）.The postoperative first time used antibacterial 16 cases（15.4%）.The postoperative medication time 3 d 50 cases（48.1%）.The antibacterials used in single kind and two kinds were 100 and 4 cases.Conclusion The irrational prophylactic use phenomenon of antimicrobials for type I incision operation in this hospital is severe.
出处
《西部医学》
2010年第11期2144-2146,共3页
Medical Journal of West China
关键词
甲状腺手术
乳腺手术
疝气修补术
清洁手术
抗菌药物
预防使用
Thyroidectomy
Adenomammectomy
Hernia repair
Type I incision operation
Antibacterial
Prophylactic Utilization
