【摘要】 目的分析我院Ⅰ类切口手术患者抗菌药物应用情况,为医师合理应用抗菌药物提供参考依据。方法采用回顾性分析的方法,对我院Ⅰ类切口手术患者抗菌药物应用情况如应用品种、给药时机、疗程、联合用药及更换等进行统计分析。结果我院Ⅰ类切口手术抗菌药物预防应用率为59.34%,使用频度位居前三位的抗菌药物为头孢西丁、头孢曲松钠、头孢呋辛,疗程最短为24 h,最长为7 d,平均用药时间为(4.31±1.07)d,使用单一品种抗菌药物的占35.74%,两种抗菌药物联用的占14.75%,单一品种更换率为8.85%。结论我院Ⅰ类切口手术患者预防应用抗菌药物存在使用率高、药物种类选择不当、用药时间过长、联合用药及更换等不合理现象。更多还原

【Abstract】 Objective To analysis the status of the utilization of prophylactic antibiotics in patients undergoing typeⅠ incision operation,provide the scientific evidence for the utilization of prophylactic antibiotics in clinic. Methods Retrospective analysis was carried out and the status of the utilization of prophylactic antibiotics in patients undergoing typeⅠincision operation include drug varieties,drug administration time、administration route、course of treatment etc was analyzed statistically. Results Utilization ratio of the prophylactic antibiotics in patients undergoing type Ⅰ incision operation was 59. 34%,leading the first three places in terms of DDDs were cefoxitin,ceftriaxone sodium,cefuroxime,treatment was continued for a minimum of 24 h and a maximum of 7 d,the average use time was( 4. 31 ± 1. 07) d,the rate of single use of antibiotics was 35. 74%,and that combination use of antibiotics was 14. 75%,the rate of single change of antibiotics was 8. 85%. Conclusion There were irrational situation include high usage,irrelevant drug varieties,lengthy drug administration time,drug combination in the prophylactic antibiotics in patients undergoing typeⅠincision operation.更多还原