摘要
目的:了解Ⅰ类切口手术患者预防性应用抗菌药物的情况,评价用药合理性,加强抗菌药物的使用管理。方法:回顾性调查2010年1—6月归档病历中Ⅰ类切口手术患者有关抗菌药物的预防性应用情况。结果:494例Ⅰ类切口手术患者中395例使用了抗菌药物,使用率为79.96%。在初次给药方面,术前0.5～2 h、2～24 h和>24 h用药者分别为12例9、1例45例;术后用药者247例。在持续给药中,术后预防用药时间<3 d者30例、3～7 d者253例、>7 d者112例。术后单一用药者占66.84%,二联用药者占31.64%,三联用药者占1.52%。结论:该院Ⅰ类切口手术患者预防性使用抗菌药物存在指征把握不严、抗菌药物品种档次高、选用药时机不当以及过度用药等问题,有待进一步规范化管理。
OBJECTIVE：To investigate the status and rationality of prophylactic use of antibiotics in patients undergoing type I incision operation and strengthen the management on the use of antibiotics.METHODS：The medical records of patients undergoing type I incision operation which filed between Jan.and June in 2010 were sampled from our hospital for retrospective analysis of prophylactic use of antibiotics.RESULTS：Among all the 494 cases,395 cases（79.96%） had prophylactic use of antibiotics.In the initial administration,12 cases received antibiotics at 0.5-2 h,91 cases at 2-24 h and 45 cases at 24 h preoperatively,and 247 received antibiotics postoperatively.In the continue medication,30 cases received antibiotics for 3 days,253 for 3-7 days and 112 for 7 days.Postoperatively,the patients using single,two antibiotics and three in combination represented 66.84%,31.64% and 1.52%,respectively.CONCLUSION：The problems existing in the use of prophylactic antibiotics for patients undergoing type I incision operation in this hospital included non-strict handling of indications of antibiotic use,high grade of antibiotics selectedi,mproper medication timing and excessive drug use etc,thus standardized management on the use of antibiotics remains to be done.
出处
《中国医院用药评价与分析》
2011年第3期232-234,共3页
Evaluation and Analysis of Drug-use in Hospitals of China
关键词
Ⅰ类切口
抗菌药物
预防用药
调查分析
Type I incision
Antibiotics
Prophylactic medication
Investigation and analysis
