江苏省省级机关医院Ⅰ类切口围术期抗菌药物应用分析  

Analysis of Perioperative Utilization of Antibiotics in Type Ⅰ Incision in Official Hospital of Jiangsu Province

作　　者：吴巧稚[1] 袁之茵[2] 

机构地区：[1]江苏省省级机关医院临床药学科,江苏南京210024 [2]江苏省省级机关医院医务科,江苏南京210024

出　　处：《中国医院用药评价与分析》2015年第10期1371-1373,共3页Evaluation and Analysis of Drug-use in Hospitals of China

摘　　要：目的：了解江苏省省级机关医院（以下简称＂我院＂）Ⅰ类切口手术预防应用抗菌药物情况,分析存在的问题,为围术期抗菌药物的应用提供参考。方法：对2012年10月—2013年10月203例符合条件的围术期抗菌药物应用情况进行回顾性调查分析。结果：203例患者,共有33例预防性应用抗菌药物,占16.3%;手术前0.5-2 h用药者26例（占总用药人数78.8%）,手术后用药者7例;使用最多的抗菌药物是头孢呋辛、头孢曲松和美洛西林。结论：我院外科Ⅰ类切口围术期抗菌药物应用基本符合要求,但在用药指征、选药及给药时机等方面仍存在不合理现象,需要进一步加强管理。OBJECTIVE： To investigate the perioperative utilization of antibiotics in type Ⅰ incision in Official Hospital of Jiangsu Province（ hereinafter referred to as ＂our hospital＂）,and analyzed the existed problems so as to provide reference for the rational use of antibiotics. METHODS： By retrospective analysis,203 cases which met the requirements of perioperative utilization of antibiotics from Oct. 2012 to Oct. 2013 were collected. RESULTS： Of 203 cases,there were 33 cases with the prophylactic utilization of antibiotics,accounting for 16. 3%; 26 cases（ 78. 8%）were given antibiotics 0. 5-2h before operations,7 cases received antibiotics after operations. The most frequently used antibiotics were cefuroxime,ceftriaxone and mezlocillin. CONCLUSIONS： The perioperative utilization of antibiotics in type Ⅰ incision in our hospital were basically rational,but there are still some irrational phenomenon in medicinal indication,the choice of drugs and administration time,which need to further strengthen the management.

关 键 词：Ⅰ类切口 围术期 抗菌药物 

分 类 号：R978.1[医药卫生—药品]