洛阳市第三人民医院Ⅰ类切口手术预防用抗菌药物使用现状分析  

Analysis on the Current Situation of Prophylactic Use of Antibiotics for Type I Incision Surgery in Luoyang Third People's Hospital

作　　者：周晓囡 李明净 王凯文 ZHOU Xiaonan;LI Mingjing;WANG Kaiwen(Luoyang Third People's Hospital,The First Affiliated Hospital of Luoyang Vocational and Technical College,Henan Luoyang 471000;Luohe Medical College,Henan Luohe 462000)

机构地区：[1]洛阳市第三人民医院洛阳职业技术学院第一附属医院,河南洛阳471000 [2]漯河医学高等专科学校,河南漯河462000

出　　处：《深圳中西医结合杂志》2024年第14期56-59,共4页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:了解洛阳市第三人民医院Ⅰ类切口手术围手术期预防用抗菌药物的使用现状,为此类药物的合理应用提供参考依据。方法:纳入2022年7月至2023年7月在洛阳市第三人民医院行Ⅰ类切口手术的206例患者为研究对象,调查并分析其围手术期预防用抗菌药物的使用情况。结果:纳入的206例行Ⅰ类切口手术患者中,有120例患者在围手术期预防用抗菌药物,占比58.25 %。抗菌药物的种类有9种,其中以头孢菌素类抗菌药物的使用率最高,其次为林可酰胺类抗菌药物,有33例在术前用药+术后48 h后用药,有28例术前用药+术后24 ~ 48 h内用药。120例围手术期预防用抗菌药物者共出现40例次用药不合理情况,其中术后48 h继续用药占比最高(30.00 %),其次为用药时机不合理(22.50 %),再次为药物类型选择不合理(15.00 %)。结论:洛阳市第三人民医院Ⅰ类切口手术围手术期预防用抗菌药物以头孢菌素类为主,用药中存在一定不合理情况,需加强监管、创建长效工作制度,从而提高抗菌药物合理使用率。Objective To understand the current situation of perioperative prophylactic use of antibacterial drugs for type I incision surgery in Luoyang Third People's Hospital,and to provide reference for the rational use of such drugs.Methods A total of 206 patients who underwent Class I incision surgery in Luoyang Third People's Hospital from July 2022 to July 2023 were included as the study objects to investigate and analyze the use of perioperative antibiotics for prophylaxis.Results Among 206 patients undergoing class I incision surgery,120 patients were treated with antibiotics for perioperative prophylaxis,accounting for 58.25%.There were 9 types of antibiotics,among which cephalosporins had the highest utilization rate,followed by lincoamide antibiotics.33 cases were used before surgery+48h after surgery,and 28 cases were used before surgery+24~48 h after surgery.There were 40 cases of irrational use of antibiotics in 120 cases of perioperative prophylactic use,among which continued use 48h after surgery accounted for the highest proportion(30.00%),followed by irrational use timing(22.50%),and irrational selection of drug types(15.00%).Conclusion In Luoyang Third People's Hospital,cephalosporins are the main antimicrobials used for perioperative prophylactics in Class I incision surgery,and there are certain unreasonable situations in the use of antibiotics.Supervision should be strengthened and a long-term working system should be established to improve the rational utilization rate of antimicrobials.

关 键 词：Ⅰ类切口手术 预防用药 抗菌药物 现状调查 

分 类 号：R969.3[医药卫生—药理学] R978.1[医药卫生—药学]