Ⅰ类切口手术围手术期预防性应用抗菌药物调查分析  

Antibacterial agents application in type Ⅰ incision operation during perioperative period

作　　者：邓燕芬[1] 

机构地区：[1]广州医学院附属肿瘤医院药剂科,广东广州510095

出　　处：《中国医药科学》2011年第15期14-16,共3页China Medicine And Pharmacy

摘　　要：目的了解目前Ⅰ类切口手术围手术期预防性应用抗菌药物情况,评价其合理性。方法采用回顾性调查方法,随机选取某医院2010年1～12月的Ⅰ类切口手术(乳腺、甲状腺手术)患者病历148份,对围手术期预防性应用抗菌药物情况进行调查分析。结果调查148例患者的抗菌药物使用率为81.76%,单用的比例为95.87%;使用最多的是第1、2代头孢菌素;术后用药3～7d的比例为44.59%。结论该院Ⅰ类切口手术围术期使用抗菌药物存在不合理现象,医院应严格遵守《抗菌药物临床应用指导原则》,规范Ⅰ类切口手术围手术期预防性应用抗菌药物的使用。Objective To investigate the situation of application of antibacterials in type Ⅰ incision operation during perioperative period,to assess its reasonableness. Methods A retrospective study was conducted,totally 148 case files of patients with type Ⅰ incision operation （breast and thyroid surgeries） in our hospital between from Jan 2010 to Dec 2010 were randomly selected,their prophylactic antibacterials were analyzed. Results The antibacterials usage rate of 148 patients was 81.76%.The proportion of antimicrobial agents alone 95.87%;the most frequently used was the first and second generation cephalosporins;postoperative administration 3-7 d ratio of 44.59%. Conclusion The rate of irrational antibiotic usage was high in type I incision operation during perioperative period. The results showed that it is very important to strictly abide by the Guiding Principles of Clinical Application of Antibacterial and the rational antibiotic use during perioperative period of type Ⅰ incision operations can be improved.

关 键 词：Ⅰ类切口 抗菌药物 预防应用 合理用药 

分 类 号：R969.3[医药卫生—药理学]