外科Ⅰ类切口手术围术期预防性应用抗菌药物的情况调查以及合理性分析

发布时间：2018-04-24 08:12

本文选题：Ⅰ类切口手术 + 围术期　；参考：《中国医院用药评价与分析》2016年02期

【摘要】：目的:调查江苏省沛县人民医院(以下简称"我院")500例外科Ⅰ类切口手术患者在围术期抗菌药物的预防性应用情况,并作出合理性分析。方法:从我院2014年3 567例病例中随机抽取500例Ⅰ类切口手术患者作为研究对象,对其在围术期应用抗菌药物情况进行了回顾性分析。结果:500例Ⅰ类切口手术患者中,有360例在围术期预防性应用抗菌药物,预防应用率为72.00%;预防用抗菌药物以头孢西丁钠为主,共121例(占26.30%);其次为头孢替安115例(占25.00%);联合用药162例(占45.00%);预防用药时机不适宜者361例(占78.47%);预防用药时间超过48 h者427例(占92.82%)。结论:Ⅰ类切口手术预防应用抗菌药物不合理现象依然存在,我院必须加强抗菌药物临床应用的管理,促进抗菌药物临床的合理应用。
[Abstract]:Objective: to investigate the prophylactic use of antimicrobial agents in 500 patients undergoing incision operation in Peixian people's Hospital of Jiangsu Province (hereinafter referred to as "our Hospital") during perioperative period, and to make rational analysis. Methods: 500 cases of class I incision operation were randomly selected from 3 567 cases in our hospital in 2014. The application of antibiotics in perioperative period was analyzed retrospectively. Results among 500 patients with type I incision operation, 360 patients were given prophylactic use of antimicrobial agents during perioperative period, the prophylactic application rate was 72.00, and cefxitin sodium was the main antimicrobial agent. There were 121 cases (26.30%), 115 cases (25.00%) of ceftidine, 162 cases (45.00%) of combined drug use, 361 cases (78.47 7) of inappropriate time for prevention of drug use, 427 cases (92.82%) of prophylactic drug taking longer than 48 h. Conclusion: the irrational use of antimicrobial drugs in class I incision surgery is still existing, and the management of clinical application of antibiotics must be strengthened in our hospital to promote the rational use of antibiotics in clinic.
【作者单位】：江苏省沛县人民医院药剂科;
【分类号】：R978.1

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