骨科围手术期预防性使用抗菌药物调查分析  

Preventive Application of Antibiotics in Orthopedic Patients During Perioperative Period

作　　者：常芳[1] 郝彩琴[1] 李鑫[1] 

机构地区：[1]延安大学附属医院感染管理科,陕西延安716000

出　　处：《中华医院感染学杂志》2010年第21期3401-3402,3419,共3页Chinese Journal of Nosocomiology

摘　　要：目的分析骨科围手术期预防性使用抗菌药物情况,评估其用药合理性,为临床合理用药提供依据。方法对2009年7-9月医院骨外科285份出院患者病历的抗菌药物使用情况进行了回顾性调查统计分析与评价。结果 285份病例中,接受手术治疗的患者253例,抗菌药物使用率为100.00%;用于预防的197例,预防性使用率77.87%;初次预防用药为术前30 min^2 h的有38例,占15.02%;术后预防用药时间≤72 h的有22例,占8.70%;>72 h的有231例,占91.30%。结论骨科围手术期合理性使用抗菌药物有待继续改进。OBJECTIVE To analyze the situation of the use of preventive application of antimicrobial in orthopedic perioperative patients and to evaluate the rationality of application. METHODS The data of drug application of 285 outpatients in Department of Orthopedics during Jul-Sep 2009 were selected retrospectively to analyze the situation of perioperative use of antimicrobials. RESULTS Of the 285 patients in the study, 100% of them were used antibiotics, 77.87% were used antibacterial for prevention, 38 cases were the first use for prevention 30min-2h before the operation, accounting for 15.02%, 22 cases were the use for prevention after operation less than 72h, accounting for 8. 70%, and 231 cases were used more than 72h accounting for 91. 30%. CONCLUSION The rationality for clinical antibiotics using in the perioperative period needs to be improved.

关 键 词：骨科 围手术期 抗菌药物 

分 类 号：R978.1[医药卫生—药品]