Ⅰ、Ⅱ类手术围手术期抗菌药物应用调查与分析  

Antimicrobial Drugs Application in Type Ⅰ and Type Ⅱ Operations During Perioperative Period:Survey and Analysis

作　　者：李炜清[1] 应庆茹[1] 陈忆伟[1] 

机构地区：[1]上海市第二人民医院药剂科,上海200011

出　　处：《中华医院感染学杂志》2008年第3期407-409,共3页Chinese Journal of Nosocomiology

基　　金：上海市黄浦区卫生系统临床研究基金项目(HWY-06148)

摘　　要：目的了解围手术期Ⅰ、Ⅱ类手术抗菌药物应用情况,评价抗菌药物使用合理性。方法抽查2006年4-6月、8-10月各科Ⅰ、Ⅱ类手术出院病历472份,统计、分析围手术期抗菌药物用程、联合用药率、标本送检率、经验用药率及术后感染率。结果医院围手术期抗菌药物应用率偏高,相关标本送检率低,抗菌药物选用主要以经验为主,针对性不强,预防用药时间过长,术后平均感染率高。结论加强医院围手术期预防应用抗菌药物的规范化管理非常重要。OBJECTIVE To find out the situation of the usage of antimierobials in type Ⅰ and type Ⅱ operations during perioperative period and to evaluate the rationality of use. METHODS To check 472 examples of medical record data of discharged patients with type Ⅰ and type Ⅱ operations in each department during from Apr to Jun and from Aug to Oct 2006, and make statistics and analysis according to application rate of antibacterial drugs, examining rate of the samples, drug usage by experiences and postoperative infection rate. RESULTS The application rate of antibacterial drugs during perioperative period in our hospital was high,the examining rate of correlated samples was low,the choice of antibacterial drugs mainly depended on experience;the sensitivity of the chosen antibacterial drugs was not strong; the duration of prophylactic drug usage was too long; and the postoperative infection rate was high. CONCLUSIONS It is very important to strengthen standardized administration of prophylactic antibiotic usage during perioperative period in our hospital.

关 键 词：围手术期 抗菌药物 使用率 感染率 调查 

分 类 号：R978.1[医药卫生—药品]