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4806例围手术期患者抗菌药物使用调查分析

Investigation and analysis of antibiotics used by 4806 cases during perioperative period

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【作者】 付秋冰刘静刘凤云

【Author】 FU Qiu-bing,LIU Jing,LIU Feng-yun(Shanxian Central Hospital,Shanxian,Shandong 274300,China)

【机构】 山东省单县中心医院感染管理科

【摘要】 目的调查及分析医院围手术期患者抗菌药物的使用情况,评估其用药合理性,为临床合理用药提供依据。方法对医院2010年10-12月4806例手术病例的抗菌药物使用情况进行了回顾性调查统计分析与评价。结果 4806例围手术期患者中,3917例于术前使用了抗菌药物,使用率为81.50%;全部在术后使用了抗菌药物,使用率为100.00%,其中58.43%使用抗菌药物时间≤3d;抗菌药物使用之前做药敏试验者656例,药敏率为13.65%;其中一联用药3006例,占62.55%,二联用药1524例,占31.71%,三、四联用药276例,占5.74%。结论应加强围手术期患者抗菌药物使用管理,以利合理使用。

【Abstract】 OBJECTIVE To investigate and analyze the antibiotics used by the patients during perioperative period,evaluate the rationality of using antibiotic to provide the basis for the clinical use of drugs.METHODS The retrospective analysis was performed to the use of antimicrobial drug in 4806 surgical cases of our hospital from Oct 2010 to Dec 2010.The statistical analysis and evaluation were provided.RESULTS In 4806 cases of surgical patients,the use rate of antimicrobial drug was 100.00%,of which a single kind drug users were 3006 case(the use rate 62.55%),while two drugs users were 1524 cases(use rate 31.71%).Two or triple drug users were 276 cases and the utilization rate was 5.74%.There were 2 808 cases that were administrated drugs for 3 days or less after surgery,accounting for 58.43%.782 cases were administrated drugs for more than 7 days,accounting for 16.27%.1076 cases were administrated drugs for 0.5-2 hours before surgery,accounting for 22.39%.CONCLUSION The management of antibiotics should be strengthened during perioperative period to ensure the rational application of the antibiotics.

  • 【文献出处】 中华医院感染学杂志 ,Chinese Journal of Nosocomiology , 编辑部邮箱 ,2011年20期
  • 【分类号】R619
  • 【被引频次】10
  • 【下载频次】68
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