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目的了解医院骨科清洁手术围手术期抗菌药物使用现状,加强抗菌药物合理使用。方法通过回顾性调查,结合抗菌药物专项整治活动,对某医院骨科50例清洁手术抗菌药物使用情况进行调查与分析。结果该医院骨科清洁手术围手术期抗菌药物使用率为98%,术前预防用药为94%,在术前2 h内用药占92%。一代头孢菌素使用率为63.27%,青霉素为16.33%,其余为二、三代头孢菌素;70%以上为单联用药。结论该医院骨科清洁切口手术围手术期抗菌药物使用比较合理,显示出此次抗菌药物专项整治活动取得初步成效,需要进一步巩固抗菌药物合理应用整治成果。
Objective To understand the current status of perioperative antibiotic use in orthopedic surgery in hospitals and to improve the rational use of antibiotics. Methods Through retrospective investigation and combined with the special rectification activities of antimicrobial agents, the use of antibacterials in 50 cases of orthopedics in a hospital was investigated and analyzed. Results The perioperative antibacterials utilization rate was 98% in orthopedic surgery, 94% in preoperative prophylaxis and 92% in 2 h before surgery. The first generation cephalosporins use rate of 63.27%, penicillin 16.33%, the rest for the second and third generation cephalosporins; more than 70% for a single drug. Conclusions The perioperative antibiotic use in orthopedics and incision surgery in this hospital is quite reasonable. It shows that the special rectification activities of this antibacterial drug have achieved initial success and need to further consolidate the rational application of antimicrobial agents.