清洁切口预防性使用抗菌药物情况的调查与管理  

INVESTIGATION AND MANAGEMENT OF PROPHYLACTIC USE OF ANTIMICROBIAL IN CLEAN INCISION SURGERY

作　　者：陈敏青[1] 陈洁[1] 

机构地区：[1]广州市第一人民医院,广东广州510180

出　　处：《现代医院》2012年第8期81-82,共2页Modern Hospitals

摘　　要：目的调查医院院清洁切口预防性使用抗菌药物情况,以制定管理策略,指导临床合理用药。方法选取医院手术患者250例,对清洁切口预防性使用抗生素情况进行回顾性分析并进行合理性评价。结果清洁切口预防性抗菌药物使用率为50.8%,术后抗生素使用比例较高,且用药时间过长。结论清洁切口预防性使用抗菌药物存在用药指征把握不严、用药时机不当、用药时间过长、选择抗生素起点过高等问题,必须加强管理,合理使用抗生素。Objective To investigate prophylactic use of antimicrobial in clean incision surgery in our hospital and to formu- late management strategy to guide reasonable clinical drug use. Methods The antimicrobial use of 250 patients with clean incision were investigated and evaluated rationally. Results The using rate of antimicrobial in our hospital was 50.8% for type I incision. The using rate of antimierobial after operation was higher and the duration was longer. Conclusion There were some detects in antimi- erobial use for clean incision surgery in our hospital including wide medication indication, non - appropriate medication opportunity, higher starting point of selecting antimicrobial. It＇s necessary to strengthen the management and to use antimicrobial rationally.

关 键 词：抗菌药物 清洁切口 合理用药 

分 类 号：R969.3[医药卫生—药理学]