某院普外科116例清洁手术围术期预防性应用抗菌药物分析  

Perioperative Use of Prophylactic Antibacterials in General Surgery Department of A Hospital: Analysis of 116 Cases

作　　者：李智[1] 李艳丽[1] 

机构地区：[1]济南市第四人民医院药学部,济南250031

出　　处：《中国医院用药评价与分析》2012年第12期1087-1089,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的:探讨某院部分清洁手术围术期预防性应用抗菌药物的现状及合理性,为临床合理使用抗菌药物提供参考。方法:调查记录某院116例清洁手术围术期预防性应用抗菌药物情况,对抗菌药物的选择、用法与用量、给药时间、持续时间等进行统计分析。结果:所调查116例清洁手术患者中,围术期预防性应用抗菌药物者为115例,抗菌药物预防性使用率达99.14%。115例应用抗菌药物患者中,选药合理者为92例,合理率为80%;均为术后当天给药;用药时间平均为5.2 d,均>48 h;均无联合用药现象。结论:清洁手术围术期预防性应用抗菌药物应遵守相关指导原则,并根据某院实际情况制定有力措施及对策进行纠正,努力促进某院"清洁手术围术期预防性应用抗菌药物"的规范化、合理化。OBJECTIVE：To investigate the status quo and rationality of the use of perioperative use of prophylactic antibacterials in a hospital for clinical reference of rational use of antibacterials.METHODS： The perioperative use of prophylactic antibacterials in a total of 116 patients undergoing aseptic operation in a hospital was recorded for statistical analysis with regard to the choice of antibacterials,dosage and administration,time to administration and duration of antibiotic use etc.RESULTS： Perioperative use of prophylactic antibacterials was noted in 99.13%（115/116）;drug choice was rational in 80%;all received antibacterials on the operative day and they received antibiotics for 5.2 days on average（48 h for all）.Drug combination was noted in none.CONCLUSION： Perioperative use of prophylactic antibacterials should abide by the related guiding principle meanwhile powerful effective measures should be taken to tighten control on which to achieve standard and rational perioperative use of prophylactic antibacterials.

关 键 词：清洁手术 围术期 抗菌药物 预防性应用 

分 类 号：R978.1[医药卫生—药品]