成都市526家医疗机构计划生育手术围术期抗菌药物使用现状分析  

Current Status Analysis of Antibiotic Use During Perioperative Period of Family Planning Surgery in 526 Medical Institutions in Chengdu

作　　者：高羽 顾玲玲 张睿 梁华 黄砚 GAO Yu;GU Lingling;ZHANG Rui;LIANG Hua;HUANG Yan(The Affiliated Women's and Children's Hospital,School of Medicine,UESTC·Chengdu Women's and Children's Central Hospital,Chengdu,Sichuan,China 611731)

机构地区：[1]电子科技大学医学院附属妇女儿童医院·成都市妇女儿童中心医院,四川成都611731

出　　处：《中国药业》2023年第22期49-52,共4页China Pharmaceuticals

摘　　要：目的 了解成都市计划生育手术围术期预防性应用抗菌药物的现状,为提高计划生育服务管理水平提供依据。方法 对成都市526家医疗机构的813名医务人员进行问卷调查,调查内容包括对不同类型的计划生育手术[放/取宫内节育环术、输卵管结扎/复通术、人工终止妊娠术(包括药物流产、药物引产、人工流产负压吸引术/刮宫术、中期妊娠引产术)]是否需要预防性使用抗菌药物,以及抗菌药物的品种、给药途径、给药时机、疗程。结果 选择在放/取宫内节育环手术、药物流产、药物引产、输卵管结扎/复通术时不预防性使用抗菌药物的医务人员分别有54.12%,64.21%,55.35%,48.83%。其中对人工流产、中期妊娠引产术争议较大,选择预防性使用抗菌药物、视情况决定和不使用抗菌药物的医务人员各约占1/3。选择在负压吸引术、刮宫术、中期妊娠引产术后预防性使用抗菌药物的医务人员分别有37.35%,34.75%,39.96%,选择在术前0.5~2 h或0.5~1 h给药的比例为22.09%~29.30%。选择在负压吸引术、刮宫术术前给予1剂抗菌药物的医务人员分别有41.97%和44.12%,选择术后24 h停药的分别有25.90%和29.13%;选择在2种手术时口服给予抗菌药物的医务人员分别有78.71%和69.85%,选择在术中预防性使用的抗菌药物为第1代头孢菌素类的医务人员分别有30.52%和34.24%。结论 成都市医疗机构医务人员对计划生育手术中放/取宫内节育环术,输卵管结扎/复通术及药物流产/引产的预防性使用抗菌药物指征掌握情况较好,但对负压吸引术、刮宫术、中期妊娠引产术的预防性用药指征及其抗菌药物品种选择、抗菌药物使用时机、疗程存在争议。建议针对计划生育手术围术期用药形成统一的质量控制标准,提高该地区计划生育服务管理水平。Objective To understand the current status of prophylactic use of antibiotics during the perioperative period of family planning surgery in chengdu,and to provide a basis for promoting the management of family planning service.Methods A questionnaire survey was conducted among 813 medical staff from 526 medical institutions in Chengdu to investigate their knowledge about whether prophylactic antibiotics were needed for different types of family planning surgeries[insertion/removal of intrauterine device(IUD),tubal ligation/recanalization,artificial termination of pregnancy(including medical abortion,medical labor induction,negative pressure suction/curettage and second-trimester labor induction)],and their knowledge about the variety,administration route,medication timing and treatment course of antibiotics.Results Precisely 54.12%,64.21%,55.35%and 48. 83% of medical staff thought that prophylactic antibiotics weren′t needed for insertion / removal of IUD,medical abortion,medical labor induction and tubal ligation / recanalization,respectively. The attitude towards whether prophylactic antibiotics wereneeded for artificial abortion (negative pressure suction,curettage) and second - trimester labor induction was controversial. Aboutone - third of medical staff used antibiotics prophylactically,one - third made a dicision based on the situation and one - thirddid not use antibiotics prophylactically. For the surgery of negative pressure suction,curettage and second - trimester laborinduction,37. 35%,34. 75% and 39. 96% of medical staff thought that antibiotics should be used prophylactically after the surgery,while 22. 09% - 29. 30% of medical staff thought that antibiotics should be used prophylactically 0. 5 - 2 h or 0. 5 - 1 h beforethe surgery. Precisely 41. 97% and 44. 12% of the medical staff thought that the antibiotics for negative pressure suction andcurettage should be given at a single dose before surgery respectively,25. 90% and 29. 13% thought that the antibiotics fornegative pressure suction and cur

关 键 词：计划生育手术 围术期 医疗机构 抗菌药物 现状 成都 

分 类 号：R95[医药卫生—药学]