安置起搏器术后感染及其预防使用抗菌药的调查分析  

Infection Complication after Planting Pacemaker and Analysis on Prophylactic Utilization of Antimicrobials

作　　者：朱卫江 刘金岩 迪拉娜[2] 蒋玉凤 

机构地区：[1]新疆自治区人民医院药学部,乌鲁木齐830001 [2]新疆医科大学药学院

出　　处：《中国药师》2010年第12期1790-1791,共2页China Pharmacist

摘　　要：目的:探讨永久性心脏起搏器置入术后发生感染的相关因素及预防对策;调查心脏起搏器术后预防应用抗菌药情况,分析评价用药合理性。方法:采用回顾性调查方法,对新疆自治区人民医院2005年1月～2009年7月安置永久起搏器患者125例临床资料进行分析。结果:125例患者均使用了抗菌药,预防用药率100%,手术后预防用药时间为1～19 d,其中用药时间≤2 d者26例(20.8%),3～7 d者70例(56%),>7 d者29例(23.2%);发生术后感染11例,其他并发症2例。结论:加深对起搏器感染并发症的了解,合理规范的使用抗菌药,可将并发症减少到最低限。Objective： To investigate the causes of infection complication after planting permanence pacemaker and the preventive measures;To investigate the perioperative utilization of antibaeterials in patients with planting permanence pacemaker and to evaluate the rationality of the use of antibacterials. Method： Retrospectively study was used, 125 patients with pacemaker were analyzed from January 2005 to July 2009. Result： Prophylatic antibacterials agents were used in all cases （100%）,Time after surgery prophylaxis were 1 -19d,26 patients were received antibiotics within 2 d,70 patients were received antibiotics within 3-7 d,29 patients were received antibiotics exceed 7d;Infection complication occurred in 11 patients, Other complication occurred in 2 patients. Conclusion： Understanding of the infection complication and rational use of antibacterials wou.ld significantly decrease the infection complication after pacemaker implantation.

关 键 词：起搏器 术后感染 抗菌药 合理用药 

分 类 号：R978.1[医药卫生—药品]