200例剖宫产围术期抗菌药物使用调查分析  

Investigation and analysis of perioperative application of antibiotics in 200 patients undergoing cesarean section

作　　者：黄新华[1] 黄辉萍[2] 黄海望[1] 李清华[1] 张莉莉[1] 连桂真[1] 

机构地区：[1]厦门市第二医院院感科,福建厦门361026 [2]厦门大学附属第一医院感染管理部,福建厦门361026

出　　处：《中华医院感染学杂志》2011年第20期4346-4347,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解剖宫产围术期抗菌药物的使用现状,为临床合理用药提供依据。方法采用回顾性调查,对2008年6-7月出院的200例行剖宫产术病例的抗菌药物使用情况进行统计、分析。结果 200例患者围术期全部使用抗菌药物,使用率100.00%,均采用静脉给药的方法;术后用药4～12d,平均给药天数5.41d;使用频度前3位的药物为头孢美唑34.75%、头孢噻肟22.34%、头孢氨苄20.57%;术后联合用药20例,占10.00%。结论剖宫产围术期用药在用药选择、用药时间、疗程等方面存在不合理之处,应从合理选用药品、规范用药和缩短用药疗程上加强管理。OBJECTIVE To find out the situation of perioperative application of antibiotics in the patients with C-sect,so as to provide references for rational administration of drugs in clinic.METHODS A total of 200 cases were retrieved from C-sect patients discharged from our hospital during Jun.2008 to Jul.2008,whose data were subjected to statistical analysis.RESULTS The patients had received antimicrobials with intravenous injection with the use rates of 100.00%.All cases were given antibiotics for more than 48h,the minimal duration was 4 days,the longest duration was 12 days,the average duration was 5.41 days.Cefmetazole had the highest using rate of those anti-infective drugs with the use rate of 34.75%,cefotaxime（22.34%）,Tabellae cefalexini lente liberantes（20.57%）.20 cases（10.00%） were given combined medication.CONCLUSION There is irrational prophylactic use of antibacterials,which are the inappropriate timing of medication,over prolonged use of the drugs,for cesarean section patients during perioperative period in this hospital.It is necessary to strengthen the management of preventive antimicrobial for cesarean section patients in antibiotics indications,antibiotics choices and medication times.

关 键 词：剖宫产 围术期 抗菌药物 调查 

分 类 号：R978.1[医药卫生—药品]