503例Ⅰ类切口手术预防性应用抗菌药物调查分析  

503 Prophylactic Application of Antibiotics in Type Ⅰ Incision Operation and Analysis of Survey

作　　者：朱佳怀[1] 宋鹏[1] 石湘芸[1] 徐武夷[1] 鹿尔驯[1] 王浩[1] 杨平地[1] 

机构地区：[1]海军总医院,北京100048

出　　处：《中国美容医学》2012年第10X期148-150,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:了解Ⅰ类切口手术预防性应用抗菌药物的情况,查找存在的主要问题并提出改进措施。方法:回顾性调查2012年3月外科系统全部Ⅰ类切口手术,对围手术期预防性应用抗菌药物的适应症、用药种类、给药时间、用药疗程和联合用药情况进行统计分析。结果:列入调查的503例Ⅰ类切口手术中,458例使用了抗菌药物,使用率为91.05%。选用药物涉及10大类27个品种,总应用频次为750次,人均1.49次。术前给药82例,术中给药255例,术后给药433例。术后持续用药时间最长18天,最短1天,平均4.38天,用药时间≤48h的119例,占比27.5%,用药时间>48h的314例,占比72.5%。结论:该机构Ⅰ类切口手术预防性应用抗菌药物存在无指征用药、用药起点过高和用药时间较长等不合理现象,应针对问题,建立健全抗菌药物管理与督导机制,采取切实可行的干预措施,促进抗菌药物临床合理应用。Objective To understand the situation of application of antibiotics in. certain hospital and solve the main problems of existence. Methods Retrospective analysis was applied to investigate the use of antibiotics in the cases, which include all kinds of type Ⅰ incision patients of surgery system. Results Totally 458 cases used antibiotics, and the usage rate of antibiotics was 91.05%. The selected antibiotics included 10 groups 27 varieties and the total application amount was 750. 82 received antibiotics preoperatively, 255 received antibiotics during operation and 433 received antibiotics postoperatively. In the continue medication, the longest time of antibiotic use was18d, the shortest was ld and the average was 4.38d, 119 cases received antibiotics for ≤48 h （27.5%）, 314 for 〉48h （72.5%）, Conclusions Problems existed in the application of antibiotics, such as non-strict handling of indications of antibiotic use, high grade of antibiotics selected and long course. Measures should be taken to normalization the management of antibiotics and improve the rationality of application of antibiotics.

关 键 词：Ⅰ类切口 抗菌药物 预防应用 

分 类 号：R619[医药卫生—外科学]