529例泌尿外科围手术期抗菌药物应用分析  

Application of antibiotics during perioperative period among 529 patients in department of urinary surgery

作　　者：叶树林[1] 王瑞娟[2] 

机构地区：[1]解放军总医院院务部,北京100853 [2]解放军总医院医务部,北京100853

出　　处：《中华医院感染学杂志》2011年第13期2785-2787,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨泌尿外科手术患者抗菌药物的使用及其合理性。方法对529例患者围手术期抗菌药物应用进行回顾性分析。结果泌尿外科围手术期患者的抗菌药物总使用率为100.00%,平均用药疗程为11.67 d,主要抗菌药物种类有氨基糖苷类、头孢菌素类、硝咪唑类,使用频次最高的抗菌药物前5位分别是硫酸依替米星氯化钠注射液275例占26.37%,注射用头孢孟多酯钠188例占18.02%,注射用头孢甲肟143例占13.71%,注射用硫酸依替米星143例占13.71%,注射用头孢美唑钠81例占7.77%。结论加强抗菌药物的使用管理,规范围手术期抗菌药物的使用原则,进一步提高合理用药水平。OBJECTIVE To investigate the use of antibiotics and its rationality in surgical department of urinary surgery. METHODS The status of antibiotics applied among 529 cases of patients during perioperative period was retrospectively analyzed. RESULTS The utilization of antibaeterials took up 100.00%, the average of treatment course was 11. 67days, Aminoglycosides , cephalosporin and ornidazozole were the main kinds among the total, most frequently used antimierobial agents were the top 5 etimicin sulfate and sodium chloride injection 275 （accounting for 26.37 %）, injection of sodium acetate with more than 188 Bangladeshi cephalosporins （accounting for 18.02 %）, injection cefmenoxime 143 （accounting for 13.71%）, injection Etimiein sulfate 143 （accounting for 13.71%）, and cefmetazole sodium injection 81 （accounting for 7. 77%）. CONCLUSION Strengthening the management of use of antibiotics and regulateing the scope of surgical principles for the use of antimicrobial agents can further enhance the level of rational use of antibiotics.

关 键 词：围手术期 泌尿外科 抗菌药物 合理用药 

分 类 号：R978.1[医药卫生—药品]