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目的探讨外科Ⅰ类切口手术预防性应用抗菌药物的合理性。方法采用回顾性调查方法,对医院360例Ⅰ类切口手术病例预防使用抗菌药物的品种、联合用药、用药频度、时间、疗程等进行调查分析。结果 362例手术期患者抗菌药物预防用药率为67.40%,涉及6大类15种,其中单用223例,占用药比例的91.39%,二联21例,占8.61%,无三联用药。结论Ⅰ类切口手术预防性应用抗菌药物存在不合理现象,必须加强合理应用抗菌药物管理。
Objective To investigate the rationality of preventive use of antibacterials in surgical class Ⅰ incision. Methods A retrospective survey was conducted to investigate the types, combinations, frequency of medication, time and course of antimicrobial agents used in the prevention and treatment of 360 class Ⅰ incision cases in the hospital. Results Among 362 surgical patients, the preventive rate of antimicrobial agents was 67.40%, involving 6 categories and 15 kinds. Among them, 223 cases were used alone, accounting for 91.39% of the total, 21 cases of second case (8.61%), no triple therapy. Conclusions There is an irrational use of antibacterials in class Ⅰ incision surgery. We must strengthen the rational use of antibacterials management.