摘要
目的了解某三甲医院的5种清洁手术(甲状腺手术、乳腺手术、疝气修补术、单纯附件手术、整形外科手术)预防使用抗菌药物的基本资料,为医院规范围手术期预防使用抗菌药物及建立有效的干预措施提供参考。方法调查某院2009-2010年第四季度5种清洁手术出院病历91例,制定评价标准,根据适应证、药物选择、用药时间等指标进行抗菌药物预防使用的合理性评价。结果抗菌药物预防使用率为98.9%;术前≤2h使用抗菌药物有两例,占2.20%,术前>2h使用抗菌药物有15例,占16.48%;术后使用时间≤24h的有7例,占7.69%,累计使用抗菌药物时间最长为12d。结论 5种清洁手术围手术期预防使用抗菌药物不合理用药现象较为严重,应引起高度重视。
OBJECTIVE To analyze the general data of preventive use of antimicrobial agents in five clean operation in a grade Ⅲ-A hospitals （ thyroid surgery, breast surgery, hernia repair, gynecological simple attachment surgery, plastic surgery）, so as to provide reference for preventive use of antimicrobial agents during perioperative period and development of effective interventions. METHODS The medical records of 9t discharged patients who underwent any of the 5 cleaning operations in the fourth quarter from 2009 to 2010 were reviewed; evaluation criterion was developed, and the rationality of prophylactic use of antibiotics was evaluated by referring the indexes including indications, selection of antibiotics, and medication time. RESULTS The usage rate of prophylactic antimicrobial agents was 98.9 %, two cases （2.20 %） used antimicrobial agents 0-2h before operation, fifteen cases（16.48%） used more than 2h before operation; 7 cases（ 7. 690/00） used 0-24h after operation, the longest cumulative time of using antibiotics was 12 d. CONCLUSION The prophylactic use of antibiotics during the perioperative period of the five cleaning operation is seriously unreasonable, and great attention should be paid.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第7期1441-1443,共3页
Chinese Journal of Nosocomiology
基金
蚌埠市科技局资助科研项目(201003022)
关键词
清洁手术
围手术期
抗菌药物
合理性
药物利用
评价标准
Cleaning operation
Perioperative period
Antibacterial agents
Rationality
Drug utilization
Evaluation criterion
