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目的分析疝气修补术围术期抗菌药物应用情况。方法选取2011年1月—2015年5月于溱东镇卫生院行疝气修补术的患者342例,回顾性分析342例患者的住院病历。结果 342例患者中围术期抗菌药物预防性应用290例(84.80%),其中单一用药279例(96.21%),二联用药11例(3.79%);使用频率最高的前3位抗菌药物为头孢唑林、克林霉素、阿莫西林,分别为141例(48.62%)、92例(31.72%)、29例(10.00%);术前30min~2h给药244例(84.14%),术后即刻给药25例(8.62%);合理用药234例(80.69%),不合理用药56例(19.31%)。结论我院疝气修补术围术期抗菌药物预防性应用仍存在不合理现象,临床医师应采取综合性预防措施,医院建立健全长效的监控机制,加强监督围术期抗菌药物预防性应用,提高临床医师对抗菌药物的认知,规范围术期抗菌药物应用原则,促进围术期抗菌药物应用的科学、合理、有效性。
Objective To analyze the application of perioperative antibacterials in hernia repair. Methods From January 2011 to May 2015, 342 cases of hernia repair were performed in Chengdong Town Health Center, and the hospitalization records of 342 patients were retrospectively analyzed. Results Among the 342 patients, 290 cases (84.80%) were prophylactically treated with perioperative antibiotics, including 279 cases (96.21%) with single drug and 11 cases with dual drug (3.79%). The top three antimicrobial agents were Cefazolin, clindamycin and amoxicillin were found in 141 cases (48.62%), 92 cases (31.72%) and 29 cases (10.00%) respectively. 244 cases (84.14% Immediately after administration of 25 cases (8.62%); rational use of 234 cases (80.69%), irrational use of 56 cases (19.31%). Conclusion The perioperative antimicrobial prophylactic use of hernia repair in our hospital is still unreasonable. Clinicians should take comprehensive preventive measures. The hospital should establish and improve a long-term monitoring mechanism to enhance the supervision of perioperative antimicrobial prophylaxis. Clinicians cognition of antimicrobial drugs, regulate the application of perioperative antibacterial drugs, and promote the scientific application of perioperative antibiotics, reasonable and effective.