585例Ⅱ类手术切口抗菌药物应用分析  

Analysis on Antibiotics Application for TypeⅡ Operative Incision in 585 Cases during Perioperative Period

作　　者：叶惠韶[1] 张常然[1] 吴文辉[1] 汪建龙[1] 刘小云[1] 

机构地区：[1]中山大学附属第一医院黄埔院区,广州510700

出　　处：《中国公共卫生管理》2011年第4期354-355,共2页Chinese Journal of Public Health Management

基　　金：广州市卫生局资助项目(2009-YB-183)

摘　　要：目的调查和评价院区Ⅱ类手术切口围手术期抗菌药物的使用情况。方法回顾性调查分析院区2009年1月-2010年12月585例Ⅱ类手术切口围手术期抗菌药物使用情况。结果 579例患者使用抗菌药物,使用率为99.0%,预防用药开始时间都在麻醉前5～30分钟之间,术后平均用药疗程为8.1d,广谱抗菌药物成为预防用药的第一选择,三代头孢使用率最高达43.5%。结论本院区Ⅱ类手术切口围手术期抗菌药物预防应用时,存在选择的抗生素挡次过高、术后用药时间较长等现象,需进一步规范。Objective To monitor of reasonable antibiotics application for type Ⅱ Incision during perioperative and postoperative period.Methods A retrospective investigation was given to survey the case data from January 2008 to Dec.2009 in 585 cases.Results There were 579 cases with antibiotics application among the 585 operative patients for type Ⅱ Incision.The antibiotics used accounted for 99.0%.Antibiotics was used in 5 minutes to 0.5 hours during perioperative period,and the mean time of antibiotics using duration after the surgery was 8.1 days.The third generation cephalosporin used accounted for 43.5%,it was the highest frequency which was used among road spectrum antibiotics.Conclusion The choice of antibiotic prophylaxis application was irrational and time of prophylaxis application was too long during the postoperative antibiotic treatment courses.The department of nosocomial infection should strengthen to administer the use of antibiotics for prophylactic application.

关 键 词：手术切口 围手术期 医院内感染 抗生素 

分 类 号：TQ455.5[化学工程—农药化工]