论文部分内容阅读
目的:分析某县级医院Ⅰ类切口手术围术期患者预防用药情况,为促进临床合理使用抗菌药物提供参考。方法:抽取医院2016年3—5月期间收治的Ⅰ类切口手术患者90例,分析其围术期抗菌药物的使用率、用药时间与停药时间。结果:预防性使用抗菌药物的患者74例占82.22%,其中47例存在不合理用药问题,其主要表现为选用抗菌药物起点过高、预防用药时间过长及采用广谱青霉素类等药物作为预防用药等。结论:医院Ⅰ类切口手术围术期预防用药存在不合理现象,应进一步采取干预措施,以促进抗菌药物的合理使用。
OBJECTIVE: To analyze the prophylaxis of patients with type I incision in perioperative period in a county-level hospital and provide references for the rational use of antimicrobial agents in clinic. Methods: Ninety cases of type Ⅰ incision surgery admitted from March to May 2016 in our hospital were collected. The utilization rate of antibacterials during the perioperative period, the duration of medication and the withdrawal time were analyzed. Results: 74 patients (82.22%) were prophylactically using antibiotics, of which 47 patients had irrational drug use problems. The main problems were the high starting point of antimicrobial agents, the long time of preventive medication and the use of drugs such as broad-spectrum penicillins as prophylaxis Medication and so on. Conclusion: There are unreasonable perioperative prophylactic drugs in class Ⅰ incision in hospitals. Interventions should be taken to promote the rational use of antibacterials.