某院Ⅰ类切口清洁手术住院患者预防用抗菌药物的调查研究  

Prospective study of prophylactic application of antibiotics in hospitalized patients with surgery with Ⅰ-type incision

作　　者：高静[1] 王艳[1] 任玲 

机构地区：[1]徐州医学院附属医院药学部,徐州221006 [2]徐州市儿童医院药剂科,徐州221000

出　　处：《中国当代医药》2015年第25期148-150,共3页China Modern Medicine

基　　金：江苏省国际交流支撑计划(JSH-2011-018)

摘　　要：目的分析医院住院患者Ⅰ类切口清洁手术预防性应用抗菌药物的情况。方法随机抽取我院2013年5月住院患者行Ⅰ类切口清洁手术病例60例,了解我院住院患者Ⅰ类切口清洁手术如甲状腺切除术、乳腺切除术、疝气修补术等Ⅰ类切口抗菌药物预防用药合理性的情况。结果Ⅰ类切口清洁手术抗菌药物预防性应用率为33.3%(20例)。不合理情况主要为品种选择不合理10例次,用法与用量不正确9例次,用药时机不合理16例次,用药疗程过长15例次,无溶媒选择不合理及无指征联合用药情况。结论Ⅰ类切口清洁手术抗菌药物预防使用存在使用率高、给药时机不合理、疗程过长、抗菌药物选择起点高等问题,提示医院Ⅰ类切口清洁手术预防性抗菌药物的应用需要进一步规范化。Objective To analyze the usage of prophylactic antimicrobial agents in hospitalized patients with surgery Ⅰ-type incision. Methods 60 cases of hospitalized patients in May 2013 with Ⅰ-type incision such as thyroidectomy,adenomammectomy,and hernia repair were chosen randomly to investigate the rationality of prophylactic use of antibiotics as a prospective study. Results The rate of prophylactic application of antibiotics was 33.3%（20 cases）.Of unreasonable cases,improper species selection was 10 times,incorrect usage and dosage was 9 times,improper timing of drug administration was 16 times,overlong treatment courses was 15 times.There were no problems regarding unsuitable dissolvant selection and drug combination without indication. Conclusion Some problems of prophylactic application of antibiotics still exist,such as higher usage rate,irrational opportunity,longer usage period,higher-ranking drugs and so on,which indicates that prophylactic application of antibiotics of cases with Ⅰ-type incision surgery should be standardized.

关 键 词：清洁手术 抗菌药物 合理用药 

分 类 号：R969[医药卫生—药理学]