摘要
目的了解围手术期预防性应用抗菌药物的现状并评价其合理性。方法采用回顾性调查的方法,随机抽查2009年112月500例Ⅰ类切口围手术期患者资料,填写设计的《外科围手术期预防性应用抗菌药物调查表》,对预防用药的适应证、用药种类、联合用药、给药时机及持续时间进行统计分析。结果 500例中,未使用抗菌药物5例,预防性使用抗菌药物495例,不合理或欠合理80例(16.00%)。预防性使用抗菌药物总例次为540,其中头孢菌素类453例次(83.89%),青霉素类(包括酶抑制剂)26例次(4.81%),喹诺酮类44例次(8.15%),林可酰胺类17例次(3.15%)。头孢唑啉钠使用178例次(32.96%)居第1位,头孢替唑钠使用151例次(27.96%)。结论Ⅰ类切口手术围手术期预防性使用抗菌药物较为合理,但仍存在用药指征把握不严,抗菌药物的选择、使用时间较长等问题,有待进一步规范化管理。
Objective To evaluate the prophylactic application of antibiotics during the perioperative period of type I incisions. Methods The clinical data of 500 patients with type I incisions from January to December of 2009 were retrospectively analyzed by self-designed questionnaire survey. The indication of antibiotics usage,choice of antibiotics categories,combination of antibiotics,giving time and length of antibiotics usage were analyzed. Results In 500 patients,only 5 were not given antibiotics ,80 （16%）were given antibiotics unnecessarily. In 540 patients who had underwent the antibiotic administration, 453 （16%） were administrated with cephalosporins,44 （8.15%） were with fluoroquinolones,26 （4.81%） were with penicillins, and 17 （3.15%） were with lincomycins. Cefazolin, the most used antibiotics, was given in 178 patients （32.96%）。Ceftezole was given in 151 patients （27.96%）. Conclusion The prophylactic application of antibiotics during the perioperative period of type I incisions is basically rational,however,there were also some problems,such as using antibiotics unnecessary,mischoice of antibiotics and using antibiotics too long. Thus,we need management of prophylactic antibiotics usage.
出处
《华西医学》
CAS
2010年第12期2241-2243,共3页
West China Medical Journal
关键词
围手术期
抗菌药物
预防
调查分析
Perioperatie
Antibacterial drugs
Prevent
Investigation and analysis
