Ⅰ类切口围术期预防使用抗菌药物情况分析  

Analysis on antibiotic drugs usage in perioperative patients with type Ⅰ incision

作　　者：刘海露[1] 钟雪梅[1] 

机构地区：[1]四川省成都市新都区中医医院药剂科,610500

出　　处：《临床合理用药杂志》2015年第21期37-38,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的分析Ⅰ类切口围术期预防使用抗菌药物情况。方法选取2014年1—9月成都市新都区中医医院收治的Ⅰ类切口病例365例,采用回顾性分析。结果 365例Ⅰ类切口手术中预防使用抗菌药物112例（30.68%）,112例预防使用抗菌药物的Ⅰ类切口手术共涉及7种抗菌药物,于术前0.5~2.0h或麻醉开始时首次给药,预防用药平均时间2.9d,术后48h内停药92例,术后使用时间≥72h者20例;术后切口感染治疗性应用抗菌药物4例,术后无感染使用抗菌药物时间〉72h者16例。结论本院Ⅰ类切口围术期用药较规范,但还存在无预防用药指征用药、用药持续时间长及选用不合理等问题,需进一步规范。Objective To analyze the antibiotic drugs usage in perioperative patients with type I incision. Methods From January to September in 2014 in the Traditional Chinese Medicine Hospital of XinDu District, Chengdu, clinical data of 365 perioperative patients with type I incision was retrospectively analyzed. Results Of the 365 cases, 112 cases （30. 68% ） used antibacterial drugs for prevention, involved 7 kinds of antibacterial drugs, the first drugs delivery time was 0. 5 to 2. 0 hours before surgery or at the beginning of anesthesia, the average using time was 2. 9 days, thereinto 92 cases with drug withdrawal within 48 hours after surgery, 20 eases with drug using over or equal 72 hours. Of the 365 cases, 4 cases used antibacterial drugs for treating incision infection after surgery, 16 cases used antibacterial drugs for over 72 hours without infection. Conclusion The antibiotic drugs usage in perioperative patients with type I incision is relatively rational, but the antibiotic drugs usage without preventive medicine indications is still exist, so are long duration of drug usage and reasonable choice.

关 键 词：抗菌药 合理化 围术期 

分 类 号：R619[医药卫生—外科学]