某“三甲”专科医院儿科2014年1-6月Ⅰ类切口手术围术期预防使用抗菌药物分析

发布时间：2018-12-07 08:53

【摘要】：目的:为儿科Ⅰ类切口手术围术期预防使用抗菌药物提供参考。方法:回顾性分析2014年1-6月2 893例Ⅰ类切口手术患儿围术期预防使用抗菌药物情况,评估专项整治效果,并总结经验教训。结果:2 893例患儿围术期预防使用抗菌药物率为19.56%,术后切口感染病例发生率为0.21%,预防使用抗菌药物主要涉及第一、二、三代头孢菌素和青霉素类及氧头孢烯类;预防用药时间多在术前2 h以内,少量在2~24 h和术后24 h。结论:Ⅰ类切口手术围术期预防使用抗菌药物仍然存在一定不合理性,但较整治前有了较大幅度的改善,抗菌药物专项点评等技术层面及医院行政管理层面的干预措施共同推动了抗菌药物合理使用。
[Abstract]:Objective: to provide a reference for the perioperative prevention of antimicrobial agents in pediatrics. Methods: a retrospective analysis of 2893 cases of perioperative antimicrobial use in children with type I incision operation from January to June 2014 was made to evaluate the effect of special treatment and to sum up the experience and lessons learned from the prevention and use of antimicrobial agents in the perioperative period. Results: the rate of prophylactic use of antibiotics was 19.56 in 2 893 children during perioperative period, and the incidence of postoperative wound infection was 0.21. The prevention and use of antimicrobial drugs were mainly related to the first and second. Third generation cephalosporins penicillin and oxycephalene; The time of prophylaxis was less than 2 hours before operation, a little within 24 hours before operation and 24 hours after operation. Conclusion: the prophylactic use of antimicrobial agents in the perioperative period of type 鈪，

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