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玉林市红十字会医院Ⅰ类切口手术预防性应用抗菌药物合理性分析
Rationality of Prophylactic Use of Antibiotics for Patients Undergoing Type Ⅰ Incision Surgery in Yulin Municipal Red Cross Hospital
【摘要】 目的:了解我院Ⅰ类切口手术预防性应用抗菌药物情况,促进临床合理用药。方法:回顾性调查我院2010年Ⅰ类切口手术患者有关抗菌药物的预防性应用情况。结果:533例Ⅰ类切口手术患者中255例预防性使用抗菌药物,百分比为47.80%,平均用药时间5.21 d,术前0.5~2 h用药238例(93.33%)、术前≥2 h用药者3例(1.18%)、术后用药14例(5.49%),不合理用药203例(79.61%)。结论:我院外科Ⅰ类切口手术抗菌药物预防性应用在用药指征、用药时间、术后用药时间等方面存在不合理现象,需加强管理。
【Abstract】 OBJECTIVE: To investigate the prophylactic use of antibiotics in patients undergoing type Ⅰ incision surgery in our hospital so as to promote rational use of antibiotics.METHODS: We retrospectively investigated the prophylactic use of antibiotics in patients undergoing type Ⅰ incision surgery in our hospital in 2010.RESULTS: Of the total 533 patients reviewed,255(47.80%) were treated with prophylactic antibiotics for an average of 5.21 days,with 238(93.33%) receiving antibiotics 0.5-2 hours before operation,in 3(1.18%) ≥2 h before surgery and 14(5.49%) after operation.The irrational antibiotic use was noted in 203(79.61%).CONCLUSION: Management on rational use of antibiotics should be strengthened given the problems lie in the indications and timing for prophylactic use of antibiotic and the postoperative medication time.
【Key words】 Type Ⅰ incision surgery; Antibiotics; Prophylactic use of drugs; Rational drug use;
- 【文献出处】 中国医院用药评价与分析 ,Evaluation and Analysis of Drug-Use in Hospitals of China , 编辑部邮箱 ,2012年01期
- 【分类号】R95
- 【被引频次】8
- 【下载频次】41