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目的调查和评价院区Ⅱ类手术切口围手术期抗菌药物的使用情况。方法回顾性调查分析院区2009年1月-2010年12月585例Ⅱ类手术切口围手术期抗菌药物使用情况。结果 579例患者使用抗菌药物,使用率为99.0%,预防用药开始时间都在麻醉前5～30分钟之间,术后平均用药疗程为8.1d,广谱抗菌药物成为预防用药的第一选择,三代头孢使用率最高达43.5%。结论本院区Ⅱ类手术切口围手术期抗菌药物预防应用时,存在选择的抗生素挡次过高、术后用药时间较长等现象,需进一步规范。
Objective To investigate and evaluate the perioperative use of antibacterials in type Ⅱ surgical incision in hospital. Methods Retrospective investigation was carried out to analyze the perioperative antimicrobial use of 585 class Ⅱ surgical incisions from January 2009 to December 2010 in the hospital. Results 579 patients were treated with antimicrobial agents at a rate of 99.0%. The prophylactic treatment started between 5 and 30 minutes before anesthesia. The mean duration of postoperative medication was 8.1 days. Broad-spectrum antimicrobial agents became the first choice of prophylaxis. Three generations of cephalosporin use up to 43.5%. Conclusions During the perioperative antimicrobial prophylaxis and application of class Ⅱ surgical incision in our hospital, there are some problems such as the overdosing of selected antibiotics and the long period of time after the operation, which need to be further regulated.