乳腺疾病围手术期使用抗菌药物的调查分析

发布时间：2018-12-13 22:23

【摘要】：目的了解乳腺疾病围手术期抗菌药物的使用情况,为规范抗菌药物合理使用及加强规范化管理提供依据。方法回顾性分析2011年1-12月140例乳腺疾病围手术期抗菌药物的使用,对其使用合理性进行评价。结果 140例乳腺疾病手术患者中围手术期使用抗菌药物83例,使用率59.29%,使用105例次,使用例次率为5.00%;使用频率最高的是第一代头孢菌素类36例次占34.29%,其次是呋布西林19例次占18.10%;术前30min~2h使用抗菌药物81例占97.59%,术前未用术后使用2例占2.41%;单一用药75例占53.57%,二联用药5例占3.57%,三联用药3例占2.14%;抗菌药物不合理使用76例占91.57%。结论医院乳腺疾病围手术期抗菌药物的应用,仍然存在用药指征把握不严、选药不当、用药时机不合理、用药时间过长、盲目联用等不合理现象;因此,应对围手术期抗菌药物使用进行合理有效的监督和干预,规范围手术期抗菌药物使用原则,使抗菌药物的应用能够更加科学、合理。
[Abstract]:Objective to investigate the use of antimicrobial agents in perioperative period of breast diseases and to provide evidence for standardizing rational use of antibiotics and strengthening standardized management. Methods the use of antibiotics in 140 patients with breast diseases during the perioperative period from January to December 2011 was analyzed retrospectively and its rationality was evaluated. Results among 140 patients with breast diseases, 83 patients were treated with antibiotics during perioperative period, the rate of using antibiotics was 59.29 and 105 times, the rate of using antibiotics was 5.00 times. The first generation cephalosporins were used most frequently in 36 cases (34.29 times), furoxicillin in 19 cases (18.10 times), 30min~2h in 81 cases (97.59%) before and after operation in 2 cases (2.41%). 75 cases were treated with single drug (53.57), 5 cases with two drugs (3.57%), 3 cases with triple drug (2.14 cases), 76 cases with irrational use of antimicrobial drugs (91.57 cases). Conclusion the use of antimicrobial agents in perioperative period of breast diseases in hospitals still exists unreasonable indications, improper selection of drugs, unreasonable timing of drug use, too long time of drug use, and blind combined use. Therefore, reasonable and effective supervision and intervention should be carried out on the use of antimicrobial drugs in perioperative period, and the principles for the use of antimicrobial drugs in perioperative period should be standardized, so that the application of antimicrobial agents can be more scientific and reasonable.
【作者单位】：温岭市第一人民医院;
【基金】：温岭市科技局基金资助项目(2011WLCA0057)
【分类号】：R319

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