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目的:探讨我院Ⅰ类切口手术住院患者抗菌药预防应用情况及合理性。方法:随机抽取2009年1～12月我院Ⅰ类切口手术(乳腺手术、疝气手术及甲状腺手术)病历156份,对预防性应用抗菌药情况进行调查分析。结果:我院Ⅰ类切口手术预防性抗菌药使用率为25.6%,75.0%的预防性抗菌药为第三代头孢菌素,平均预防用药时间术前(0.55±0.13)h,术后(3.6±0.4)d,不同医生对手术预防用药的使用率有显著性的差异(P<0.001)。结论:我院Ⅰ类切口手术预防性应用抗菌药情况基本合理,管理部门应有针对性地进行干预。
Objective: To investigate the prevention and treatment of antimicrobial agents in hospitalized patients with type Ⅰ incision in our hospital and its rationality. Methods: A total of 156 medical records of type Ⅰ incisional surgery (breast surgery, hernia surgery and thyroid surgery) in our hospital from January to December in 2009 were randomly selected to investigate the prophylactic use of antibacterials. Results: The preventive rate of preventive antibacterials in type Ⅰ incision was 25.6% in our hospital. The preventive antibacterial drug for 75.0% was the third generation cephalosporin. The average preventive medication time was (0.55 ± 0.13) h and ± 0.4) d, there was a significant difference (P <0.001) among different doctors in the use of prophylactic prophylaxis. Conclusion: Class I incision surgery in our hospital prophylactic use of antimicrobials is reasonable, management should be targeted to intervene.