外科围手术期抗菌药物应用的调查分析  

Antibiotics Usage Status in Surgery During Perioperative Period

作　　者：肖秀红[1] 徐凤琴[1] 陈丽容[1] 张丽崧[1] 邵怀好[1] 

机构地区：[1]中山大学附属第二医院,广东广州510120

出　　处：《中华医院感染学杂志》2007年第3期320-321,共2页Chinese Journal of Nosocomiology

摘　　要：目的为了解外科手术患者围手术期抗菌药物的应用和存在问题,对抗菌药物的合理使用和宏观管理提供科学依据。方法对462例患者围手术期抗菌药物应用进行回顾性调查分析。结果460例患者使用了抗菌药物,其中预防用药占83.26%,治疗用药占16.74%;术后预防性使用抗菌药物时间≥4d者占80.68%,其中用药时间最长28d;术后单用1种和应用二联、三联和四联抗菌药物的分别占43.26%、44.13%、11.96%、0.65%。结论在围手术期抗菌药物的使用中存在着不合理之处,应加强管理。OBJECTIVE To offer scientific basis for reasonable usage and management of antibiotics through surveying the situation and problems of antibiotics usage in surgery during perioperative period. METHODS The antibiotics usage status among 462 cases of patients during perioperative period was retrospectively analyzed. RESULTS Antibiotics were used in 460 patients. The rate of prophylactic usage was 83. 26%, the rate of therapeutic one was 16.74% ; the duration of postoperative prophylaxis was..80.68% of the patients were treated with antibiotics for 4 days or more, the longest one was 28 days; 43.26% of the patients received single antibiotic treatment, and 44.13% ,11.96%, or 0.65% of patients received 2, 3 or 4 kinds of antibiotics combined therapy respectively. CONCLUSIONS Improper application of antibiotics during perioperative period needs higher level administration.

关 键 词：围手术期 抗菌药物 预防 管理 

分 类 号：R969.3[医药卫生—药理学]