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目的:对某院普通外科的围手术期预防性使用抗菌药存在的不合理情况进行分析,促进临床预防用抗菌药的合理应用。方法:采用回顾性的调查方法,随机抽取2010年某院Ⅰ类切口手术不合理病历117例。从抗菌药的种类、术前术后使用的时间、是否存在出院带抗菌药等方面进行分析,筛选出不合理的主要因素。结果:被调查的不合理病历中,用药时间超过24 h的有85例(72.65%),术后48 h继续使用抗菌药的为71例,抗菌药品种选择不当的45例,违规出院带抗菌药的44例。结论:该院Ⅰ类切口手术患者预防性使用抗菌药存在不合理情况,要规范该院的围手术期用药问题,对存在不合理用药几个方面应进行重点干预。
Objective: To analyze the irrationality of perioperative prophylactic use of antibacterials in general surgery of a hospital and promote the rational use of antibacterials for clinical prophylaxis. Methods: A retrospective survey method was used to randomly select 117 unreasonable medical records of type Ⅰ incision in a hospital in 2010. From the types of antimicrobial agents, preoperative and postoperative use of time, the presence of discharge with antibacterial drugs and other aspects of screening, screening out the main unreasonable factors. Results: Of the unreasonable medical records investigated, 85 cases (72.65%) were treated for more than 24 hours, 71 cases continued to use antibacterial drugs 48 hours after operation, 45 cases were inappropriately selected for antibacterial drugs, 44 cases of medicine. CONCLUSION: There is an unreasonable use of antibacterials in patients with type Ⅰ incision in our hospital. It is necessary to regulate perioperative drug use in this hospital. Several key interventions should be focused on the irrational use of drugs.