摘要
目的了解医院普外科3种清洁手术抗菌药物预防性使用情况。方法调查2009年9月至2010年2月185例甲状腺手术、乳腺手术、腹股沟疝手术3种清洁手术出院病历预防使用抗菌药物情况。结果185例患者中,抗菌药物预防使用率达100%。给药时机术前大于2 h者9例(4.86%),术前0.5~2 h者154例(83.24%),术后22例(11.89%);预防用药时间不大于48 h者46例(24.86%),预防用药时间大于48 h者139例(75.14%);抗菌药物预防性使用最多的为氟喹诺酮类。结论普外科3种清洁手术抗菌药物预防使用存在不合理现象,应引起重视。
Objective To analyze the use status of prophylactic antibiotics for three kinds of clean surgical operations in general surgery.Methods A retrospective investigation was performed on prophylactic antibiotics use in the medical records of 185 discharged inpatients receiving thyroid surgery,breast surgery and hernia surgery in our hospital form September 2009 to February 2010.Results Among 185 cases,the use rate of antibiotics was 100%.The medication occasion was preoperation more than 2 h in 9 cases(4.86%) and 0.5~2 h in 154 cases(83.24%);22 cases(11.89%) were given antibiotics after surgery.The average duration of antibiotics use not more than 48 h was in 46 cases(24.86%) and more than 48 h in 139 cases(75.17%).The most commonly used prophylactic antibiotics were fluoroquinolones.Conclusion Irrational use of antibiotics exists in these 3 kinds of clean surgical operations in the general surgery in our hospital,which should be paid more attention to.
出处
《中国药业》
CAS
2012年第2期64-65,共2页
China Pharmaceuticals
关键词
清洁手术
抗菌药物
预防用药
clean operation
antibacterial
prophylactic application of drugs