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目的了解某三级医院外科抗菌药物应用合理性及医院抗菌药物分级管理制度的落实。方法按照事先设计好的调查表,随机抽查全院11个外科病区的患者,填写调查表。结果抽查的114份调查表中,23例未使用抗菌药物,65例围手术期预防用药,26例治疗用药。药物选择93例合适,用法用量99例合适,用药疗程46例合理,联合用药40例合理。结论外科医师仍须加强抗菌药物使用原则的学习,规范围手术期抗菌药物的使用。
Objective To understand the rationality of surgical antibacterials application in a tertiary hospital and the implementation of the hospital antimicrobial drug classification management system. Methods In accordance with the pre-designed questionnaire, randomly selected patients in 11 surgical wards of the hospital to fill in the questionnaire. Results Of the 114 questionnaires randomly selected, 23 did not use antimicrobial drugs, 65 perioperative prophylaxis and 26 did medication. 93 cases of drug selection is appropriate, the usage amount of 99 cases appropriate treatment of 46 cases reasonable, 40 cases of combination therapy is reasonable. Conclusion Surgeons still need to strengthen the use of antimicrobial agents to learn the principles of regulating the use of perioperative antibiotics.