摘要
目的 了解某院白内障、介入、腹股沟疝、甲状腺、乳腺、膝关节镜和关节置换7种清洁手术抗菌药物预防使用情况。方法 回顾性抽查该院2015年第一季、第二季度、第三季度Ⅰ类切口清洁手术病例,依据卫生部《抗菌药物临床应用指导原则》的要求从是否有适应证、用药时机、用药疗程、品种选择等方面对病例进行汇总分析。结果 5 279例患者,男性3 156例,女性2 123例,年龄2天~104岁(中位年龄53岁)。第一、二、三季度抗菌药物整体合理率分别为48.8%、57.3%、62.2%。头孢呋辛是最常预防使用的抗菌药物。不合理用药主要为无指征用药、预防用药时机不当以及预防用药疗程过长。结论 应进一步加强对清洁手术围术期抗菌药物使用的监督与干预。
Objective To survey the using situation of prophylactic antimicrobial agents in patients undergoing cleaning surgical procedures such as cataract surgery, interventional operation, Laparoscopic hernial operation, thyroidectomy, breast surgery, arthroscopic knee surgery and arthroplasty in a hospital. Methods Retrospectively examining the cases of I type incision cleaning operation which is from the first, second and third quarter in 2015 of the hospital. Acoording to Clinical use of antibiotics guidelines'by Health Ministry, the cases were summarized and analyzed in multiple aspects that include whether exist indication or not, administration timing, treatment course, drug selection. Results 5 279 records were reviewed (3 156 male, 2 123 female), patients aged from 2 days to 104 years old (median: 53 years). The overall rational rates in the use of prophylactic antibiotics in the first, second and third quarter of 2015 were 48.8% , 57.3% and 62.2% respectively. Cefuroxime was the most frequently used antibiotics. The main unreseasonable prescriptions were no indication of medication, improper timing and overlength drug treatment. Conclusion It is necessary to further strengthen supervision and intervention on the prophylactic using of antimicrobial agents in the cleaning perioperative operation.
出处
《现代医院》
2016年第6期858-861,共4页
Modern Hospitals
关键词
清洁手术
围术期
抗菌药物
预防使用
合理用药
Aseptic Operation
Preoperative Period
Antibiotics
Prophylaxis
Rational Use of Drug