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目的回顾分析抗菌药物专项整治前后三个不同阶段腹股沟疝补片无张力修补术患者围术期抗菌药物临床应用的情况,评价腹股沟疝补片无张力修补术不预防使用抗菌药物的合理性。方法对2010年1月-2016年12月间423例腹股沟疝无张力修补手术患者抗菌药物应用情况,分2010-2012年、2013-2014年、2015-2016年底三个阶段进行回顾性调查,对抗菌药的给药时间、使用率、种类、用药时间和切口感染率进行分析,讨论开展抗菌药物专项治理活动的必要性。结果我院在未开展抗菌药物整治前无菌手术不合理使用抗菌药情况明显,造成了卫生资源浪费及增加患者的经济负担。通过专项整治后,清洁手术围手术期预防使用抗菌药明显趋于合理,使用率明显下降,切口感染率无明显变化。结论抗菌药物专项整治活动是必要的、正确的。
Objective To retrospectively analyze the clinical application of perioperative antibiotics in patients with inguinal hernia repair without tension repair in three different stages before and after the special treatment of antimicrobial agents, and to evaluate the rationality of anti-bacterial drugs without preventing tension with groin hernia repair. Methods From January 2010 to December 2016, 423 cases of patients with inguinal hernia tension-free repair of antimicrobial drugs in patients with sub-2010-2012, 2013-2014, 2015-2016 end of the three stages of a retrospective survey of Antibacterial drug administration time, use rate, type, medication time and incision infection rate analysis to discuss the need for special antimicrobial treatment activities. Results Our hospital did not carry out antimicrobial treatment prior to aseptic surgery irrational use of antibacterials significantly, resulting in a waste of health resources and increase the financial burden on patients. Through a special rectification, the use of antibacterials in the prevention of perioperative prophylaxis of cleansing surgery is obviously reasonable, the usage rate obviously drops, and the incision infection rate has no obvious change. Conclusion Anti-bacterial special rectification activities are necessary and correct.