外科Ⅰ类切口手术抗菌药物使用调查结果分析  

Survey of usage of antibiotics for patients performed type Ⅰ incision operations

作　　者：刘凤阁[1] 陈惠清[1] 高青[1] 王世英[1] 尚华[1] 邓明卓[1] 

机构地区：[1]首都医科大学附属北京友谊医院感染管理科,北京100050

出　　处：《中华医院感染学杂志》2011年第8期1639-1641,共3页Chinese Journal of Nosocomiology

摘　　要：目的了解Ⅰ类切口围手术期抗菌药物的应用现状及合理性。方法对医院2009年4月出院的174例普外科、骨科、神经外科、胸外科、心外科Ⅰ类切口手术患者围手术期抗菌药物的应用进行回顾性调查。结果 165例使用了抗菌药物,抗菌药物使用率为94.8%;术前≤2 h手术仅有77例占46.7%;用药持续时间在24 h内的仅为15例占9.1%;普遍存在抗菌药物的使用、用药时机、用药持续时间等方面不合理的现象。结论应加强围手术期抗菌药物的应用的管理和监督,促进临床医师合理用药。OBJECTIVE To analyze the application state and rationality of antibiotics during perioperative period in type Ⅰ incision operation.METHODS Retrospective analysis was applied to investigate the use of perioperative antibiotics in the 174 cases,which include all kinds of type Ⅰ incision patients of general surgery,orthopedics,neurosurgery,thoracic and cardiac surgery who left hospital since April 2009.RESULTS Totally 165 cases used antibiotics,and the usage rate of antibiotics was 94.8%.77 cases of surgery used antibiotics less than two hours before surgery（46.7%）.There were only 15 cases that the duration of medication was less than 24 hours（9.1%）.Unreasonable phenomenon in the usage of antibiotics,timing of medication and the duration of medication was common.CONCLUSION Management and supervision should be strengthen on the application of antibiotics during the perioperative period to promote the rational use of medicine for the clinician.

关 键 词：Ⅰ类切口手术 抗菌药物 合理用药 

分 类 号：R978.1[医药卫生—药品]