2019—2020年天津市宝坻区人民医院Ⅰ类切口手术围手术期预防性应用抗菌药物的合理性分析  

Analysis on the rationality of prophylactic use of antibiotics during perioperative period during classⅠincision surgery in Tianjin Baodi Hospital from 2019 to 2020

作　　者：钟纯洁 苏红军[1] 庞东旭 崔金国[2] 崔金广 杨洁 郭翌安 ZHONG Chun-jie;SU Hong-jun;PANG Dong-xu;CUI Jin-guo;CUI Jin-guang;YANG Jie;GUO Yi-an(Department of Medical Services Section,Tianjin Baodi Hospital,Tianjin 301800,China;Department of Pharmacy,Tianjin Baodi Hospital,Tianjin 301800,China;Department of Information Section,Tianjin Baodi Hospital,Tianjin 301800,China)

机构地区：[1]天津市宝坻区人民医院医务处,天津301800 [2]天津市宝坻区人民医院药学部,天津301800 [3]天津市宝坻区人民医院信息科,天津301800

出　　处：《现代药物与临床》2022年第2期399-402,共4页Drugs & Clinic

摘　　要：目的分析2019—2020年天津市宝坻区人民医院Ⅰ类切口手术围手术期预防性应用抗菌药物现状,为提高围手术期抗菌药物合理使用提供参考依据。方法从天津市宝坻区医院信息系统中调取2019年1月1日—2020年12月31日Ⅰ类切口手术出院患者病历10507例,对围手术期预防用药情况进行分析,每月随机抽样50份病历进行专项点评,总结点评情况。结果10507例Ⅰ类切口手术患者中,2375例预防性使用抗菌药物,抗菌药物预防性使用率为22.60%;使用率最高的科室为骨科(42.04%),使用率最低的科室为泌尿外科(1.24%);抗菌药物品种选择排名第一的为头孢唑林钠,构成比为86.32%;用药疗程≤24 h的有1821例(占76.67%),>48 h的有106例(占4.47%);抽样点评1200例Ⅰ类切口患者病历,合理用药1185例(占98.75%),不合理用药15例(占1.25%),主要涉及疗程不适宜(超过24 h且无理由,占比46.67%)、品种不适宜(占比40.00%)。结论天津市宝坻区人民医院Ⅰ类切口手术围手术期预防性应用抗菌药物的使用基本合理。Objective To analyze the usage of prophylactic antibiotiscs in perioperative period of typeⅠincision in Tianjin Baodi Hospital from January 1,2019 to December 31,2020,so as to provide reference for improving the rational use of perioperative antibiotics.Methods A total of 10507 medical records of discharged patients with type I incision surgery from 2019 to 2020 were collected from the Tianjin Baodi Hospital information system.The preventive medication and rational administration were analyzed.50 medical records were randomly sampled every month to review and summarize the comments.Results Among 10507 patients of typeⅠincision surgery,2375 patients were prophylaxis with antibiotics,and the rate of prophylactic use of antibiotics was 22.60%.The department of orthopedics had the highest utilization rate(42.04%),and the department of urology had the lowest utilization rate(1.24%).The first antibacterial variety was cefazolin sodium,and the composition ratio was 86.32%.There were 1821 cases(76.67%)whose medication course was less than 24 h,and 106 cases(4.47%)whose medication course was>48 h.Among 1200 patients with type I incision,1185 cases(98.75%)were used rationally,and 15 cases(1.25%)were used irratively,mainly involving unsuitable course of treatment(more than 24 hours without reason,46.67%),and unsuitable type(40.00%).Conclusion The prophylactic application of antibiotics in typeⅠincision in Tianjin Baodi Hospital is basically rational.

关 键 词：Ⅰ类切口 围手术期 抗菌药物 预防用药 头孢唑林钠 

分 类 号：R978.1[医药卫生—药品]