Ⅰ类切口围手术期预防用抗菌药物的调查分析
投稿时间:2013-10-08  修订日期:2014-05-22  点此下载全文
引用本文:王霖,李文哲,张一恺.Ⅰ类切口围手术期预防用抗菌药物的调查分析[J].药学实践杂志,2015,33(1):73~75
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作者单位E-mail
王霖 解放军313医院药剂科, 辽宁 葫芦岛 125000  
李文哲 沈阳军区兴城疗养院药剂科, 辽宁 葫芦岛 125105 289022653@qq.com 
张一恺 第四军医大学附属西京医院药剂科, 陕西 西安 710032  
中文摘要:目的 分析某三甲医院Ⅰ类切口手术预防性使用抗菌药物的合理性。方法 抽取某院2012 年5月至2013年5月Ⅰ类切口手术出院病历共251份,回顾性调查分析预防性使用抗菌药物情况。结果 抗菌药物使用率为98.41%,使用抗菌药物的247例病例中,第一代头孢菌素使用率为28.57%,术前0.5~2 h抗菌药物的使用率为61.94%。应用疗程控制在术后48 h内的手术例数占样本总数的14.17%。结论 该院Ⅰ类切口手术预防用抗菌药物存在不合理现象,需进一步规范。
中文关键词:Ⅰ类切口  抗菌药物  围手术期
 
Analysis of prophylactic use of preoperative anti-bacterial in type Ⅰ incision operations
Abstract:Objective To investigate the rationality of prophylactic use of anti-bacterial in 251 type Ⅰ incision operations. Methods The anti-bacterial use of 251 type Ⅰ incision operations sampled randomly from May 2012 to May 2013 were retrospectively analyzed. Results The prophylactic antibiotics rate was 98.41% in the 251 cases of the type Ⅰ incision;among the 247 cases used anti-bacterial,the utility rate of first generation cephalosporin antibiotic was 28.57% after surgery and the rate of prophylactic antibiotic use within 0.5-2 h before operation was 61.94%.14.17% of antibiotic treatment was finished within 48 h after surgical operation. Conclusion There was the unreasonable situation in the prophylactic use of anti-bacterial, which need to be improved.
keywords:type Ⅰ incision operation  antibacterials  perioperative period
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