整形外科医院住院患者预防性应用抗生素相关数据分析  

Analysis of Relevant Factors of Prevention of Antimicrobial Prophylaxis in in-Patients in Plastic Hospital

作　　者：李革红[1] 孙宝燕[1] 李少英[1] 黄金井[1] 

机构地区：[1]中国医学科学院中国协和医科大学整形外科医院感染控制科,北京100041

出　　处：《中国美容医学》2007年第11期1581-1583,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究整形外科围手术期预防性应用抗生素的合理性。方法:抽取1989～2003年我院住院患者病历48958份,男26575例,女22383例,平均住院时间12.32天。分析评价我院整形外科患者围手术期预防性抗生素应用的合理性。结果:全组有46611例预防性应用抗生素,占住院患者总人数的95.21%。主要的药物种类为头孢菌素类、青霉素类和氨基糖苷类、甲硝唑等。联合用药占6352人次,占抗生素使用总人数13.62%。发生医院感染的359例次,占住院总数的4.79%。术后预防性使用抗生素的有39982人,占预防性应用抗生素总人数的85.78%。结论:医院应制订整形外科围手术期预防性抗生素使用规范来指导临床合理使用抗生素,建立抗生素应用微机管理监测系统,加大管理监控力度,使抗生素管理规范化、系统化。Objective To analyze the rationality in antimicrobial prophylaxis in patients during perioperative time in plastic hospital. Methods From 1989 to 2003,48 958 records were at random reviewed,26575 cases male,22383 female. The average time in hospital was 12.32 days. Analysis and research was performed to the rationality in antimicrobial prophylaxis in patients during perioperative time in plastic hospital. Results Antimicrobial prophylaxis was applied to 46 611 in the in-patient accounting for 95.21% in total in-patient. The main medicine include cephalosporins, penicillin, aminoglycoside and 2-Methyl-5-nitroimidazole-l-ethanol. Combination drug was used in 6 352 patients accounting for 13.62%. Nosocomial infection happened in 359 cases accounting for 4.79%. Prevention of antimicrobial prophylaxis postoperation was used in 39 982 cases accounting 85.78%. Conclusion Therapeutic guidelines on antimicrobial prophylaxis in perioperative time shoud be made to guide the Reasonable use of antibiotics in clinic. Computer management testing system of antimicrobial prophylaxis should be made to increase the strength of management supervision which can make the management of antimicrobial prophylaxis into rule and system.

关 键 词：整形外科 围手术期 预防性 抗生素 

分 类 号：R622[医药卫生—整形外科]