骨科Ⅰ类切口围术期抗菌药物使用分析  

Analysis of the Use of Perioperative Antibacterial Drugs in Type I Incision in Department of Orthopedics

作　　者：陈春[1] 吴增华[1] 罗定举 熊飞龙[1] 

机构地区：[1]贵州省兴义市人民医院,兴义562400

出　　处：《国外医药（抗生素分册）》2013年第5期I0009-I0010,I0012,共3页World Notes on Antibiotics

摘　　要：目的掌握我院骨科Ⅰ类切口围术期抗菌药物使用情况,为合理用药提供参考。方法回顾我院经2011年抗菌药物专项整治后,骨科2012年全部Ⅰ类切口病例1581例围术期抗菌药物使用,统计分析抗菌药物应用情况。结果 1581例患者中,抗菌药物有预防指征共822例,合理100%,选用针对革兰阳性菌的第一、二代头孢菌素,选用万古霉素3例,选药合理99.64%;术后频繁更换抗菌药物有5例;24h内用药746人次,24h用药率90.75%;无联合使用抗菌药物。抗菌药物的使用没有发现单次剂量、给药频次、溶剂选择、给药途径不正确。结论经过2011年抗菌药物专项整治,我院骨科2012年Ⅰ类切口围术期抗菌药物的合理使用,需要按照PDCA管理不断持续改进。Objective To master the usage ofperioperative antibacterial drugs in type I incision in the department of orthopedics, provide reference for rational drug use. Methods After rectificating antibacterial drugs in 2011, all type I incision cases use perioperative antibiotics, then statistical analysis of the usage of antibiotics. Results Among the 1581 patients, 822 cases got drug prevention indication, fair 100%, select the gram positive bacteria and one or two generation cephalosporin, 3 cases with vancomycin, the drug selection and reasonable rate is 99.64%; 5 cases has replaced antibiotics frequently in the postoperative period; 746 Use drugs in 24 hours, 24 hours usage rate 90.75%; no combined use of antimicrobial agents. We don＇t find any mistakes in use of antibacterial drugs. Conclusion We use antibiotics in perioperative period in our hospital department of orthopedics 2012 type I incision and needs to be continuous improvement in accordance with PDCA management.

关 键 词：骨科 Ⅰ类切口 抗菌药物 合理使用 

分 类 号：R45[医药卫生—治疗学]