Ⅰ类切口手术预防性抗菌药物使用情况分析  

Analysis of the usage of the prophylactic antibiotics in patients undergone typeⅠincision operations

作　　者：宫庆月[1] 修平[2] 李政平 

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院,山东省烟台264000 [2]山东省海阳市人民医院 [3]烟台市医学科学技术研究所

出　　处：《中华航海医学与高气压医学杂志》2006年第5期276-278,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的了解某医院Ⅰ类切口手术预防性抗菌药物使用情况。方法调查2005年1～12月出院的903例Ⅰ类切口手术(乳腺、甲状腺手术)患者病历,对资料进行统计分析。结果Ⅰ类切口手术预防用药率100％,使用频度依次为青霉素类、第3、4代头孢菌素、喹诺酮类和第1、2代头孢菌素,术后平均用药5．8 d。结论该院Ⅰ类切口手术预防用药存在指征把握不严、种类选择欠妥、用药时机不当以及过度用药等问题,亟需加强规范化用药管理。Objective To investigate the usage of prophylactic antibiotics in patients undegone type Ⅰ incision operations. Methods The case history of 903 patients undergone type Ⅰ incision operations who left hospital during Jan. 2005-Dec. 2005 was investigated and analyzed. Results The prophylactic antibiotics were 100 percent used in the 903 patients. The one that was most frequently used was penicillin, followed by the third and fourth generations of cephalosporines, fluoroquinolone, the first and second generations of cephalosporines. The average time for administering antibiotics was 5.8 d. Conclusions Problems existed in the use of prophylactic antibiotics in patients undergone type Ⅰ incision operation： relaxed indications, improper antibiotic category, unsuitable occasion, excessive usage. It is urgent to strengthen the management of normative usage of prophylactic antibiotics.

关 键 词：Ⅰ类切口手术 围手术期 抗菌药 感染 

分 类 号：R619[医药卫生—外科学]