阴道分娩产妇对预防性应用抗菌药物的依从性调查  

Compliance of vaginal delivery puerpera for antibiotic prophylaxis

作　　者：白灵波[1] 

机构地区：[1]邢台市人民医院医疗设备科,河北邢台054031

出　　处：《中华医院感染学杂志》2012年第18期4115-4116,共2页Chinese Journal of Nosocomiology

摘　　要：目的了解阴道分娩产妇对会阴切口预防性应用抗菌药物的依从性,以期促进抗菌药物的合理使用。方法选择医院正常阴道分娩有会阴切口的产妇共2000例为研究对象,以问卷形式调查其在产后对应用抗菌药物的依从性,包括是否接受使用抗菌药物、选择药物的种类、用药途径、用药时间及用药费用等。结果产妇接受抗菌药物者1686例占84.3%,其中1258例占62.9%接受口服头孢类药物,404例占20.2%要求静脉用药,用药时间2～3d,80.0%不计较用药费用;15.7%的产妇不接受抗菌药物,其中112例,占5.6%认为药物对哺乳有不良影响。结论产妇对会阴切口预防性应用抗菌药物的依从性方面存在误区,需要开展有效的合理用药宣传教育,合理使用抗菌药物,避免不必要的医疗开支。OBJECTIVE To improve the compliance of preventive application of antibiotics for perineum of vaginal delivery with perineum incision so that it can promote the rational use of antibiotics. METHODS The puerpera with normal perineum incision 2000 cases were researched and their compliance of application antibiotics to prevent infections was investigated by using questionnaire. The questions included the following aspects： whether or not to accept the application of antibiotics, select the type of medicine, route, time and costs of administrating medicine, and so on. RESULTS There were 1686 puerpera accepting antibiotics （accounting for 84.3%）. There were 1258 cases accepting antibiotics （62.9 %） by oral and 404 cases by intravenous among these puerpera. The duration of using antibiotics was 2 to 3 days and they （80%） did not worry the costs, There were 404 puerpera without accepting antibiotics （20. 2%）. They（ 112 cases）were afraid that medicine had an adverse effect on lactation among 404 puerpera. CONCLUSION There exists the error on the aspect of compliance of prophylactic use of antibiotics for perineum incision, it is necessary to develop the effective training for reasonable use of antibiotics so as to avoid the unnecessary medical expenses.

关 键 词：会阴切口 预防性 抗菌药物 依从性 调查 

分 类 号：R978.1[医药卫生—药品]