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目的调查合肥市基层医院产科剖宫产围手术期抗菌药物的使用情况,分析其合理性,为加强基层医院产科质量管理提供参考依据。方法采用回顾性调查分析方法,随机抽取2009年1-12月合肥市某县级、乡镇级医疗保健机构产科99名剖宫产者的病历,对围手术期抗菌药物的使用情况进行统计分析。结果 99名剖宫产者中未使用抗菌药物者仅1例,98名用药者均采用术后给药;用药品种涉及5大类、59种;单联用药43人(43.4%)、二联44人(44.5%)、三联9人(9.1%)、四联2人(2.0%);术后用药时间过长,平均5.3天。结论基层产科剖宫产围手术期抗菌药物的预防应用存在许多不合理之处,应加强质量管理,确保安全、有效、合理地使用抗菌药物。
Objective To investigate the use of antibiotics in perioperative cesarean section of primary hospital in Hefei and analyze its rationality to provide reference for strengthening the obstetrics quality management in primary hospitals. Methods A retrospective survey was conducted to analyze the medical records of 99 cesarean sections in obstetrics of a county-level and township-level healthcare institutions in Hefei from January to December in 2009, and to analyze the use of perioperative antibacterials. Results One hundred and ninety-nine cesarean section patients did not use antibacterial drugs, only one patient and 98 drug users were treated by postoperative administration. The drug use categories included 5 major categories and 59 species, 43 single-drug combinations (43.4%), 44 (44.5%), triple 9 (9.1%), four quadruple (2.0%); postoperative medication time is too long, an average of 5.3 days. Conclusions There are many unreasonable reasons for prevention and treatment of perioperative antibiotics in cesarean section during primary cesarean section. Quality control should be strengthened to ensure the safe, effective and rational use of antimicrobial agents.