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目的:分析围手术期患者抗菌药物预防性使用的合理率,为临床围手术期患者预防性使用抗菌药物提供参考。方法:抽取2015年第一季度(整治前)与2017年第一季度(整治后)I类切口围手术期患者预防使用抗菌药物的临床资料,比较和分析专项整治前后围手术期患者预防使用抗菌药物的合理率。结果:专项整治前后,I类切口围手术期患者预防使用率分别为35.87%与28.46%;乳甲疝患者手后预防使用率分别为1.38%与0.72%;给药时机的合理率分别为84.44%与89.17%,24 h内的疗程占比分别为16.67%与59.61%,24~48 h内的疗程占比分别为13.64%与23.48%,48~72 h内的疗程占比分别为25.76%与8.64%,>72 h的疗程占比分别为43.94%与8.27%;头孢呋辛品种选择率分别为43.11%与93.43%。结论:专项整治后围手术期患者预防使用抗菌药物是合理的,专项整治后促进了抗菌药物的合理使用。
Objective: To analyze the reasonable rate of prophylactic use of antibiotics in perioperative patients and provide references for preventive use of antibiotics in perioperative patients. Methods: The clinical data of patients with type I perioperative prophylaxis using antibiotics in the first quarter of 2015 (before remediation) and the first quarter of 2017 (after remediation) were collected, and the prevention and treatment of antibacterials in perioperative patients before and after special remediation were compared and analyzed Reasonable rate of medicine. Results: Before and after special remediation, the preventive rate of perioperative patients with type I incision was 35.87% and 28.46% respectively. The prophylactic use rates of the patients with milk-hernia were 1.38% and 0.72%, respectively. The reasonable rates of administration were 84.44 % And 89.17% respectively. The proportions of the courses of treatment within 24 h were 16.67% and 59.61% respectively. The proportions of the courses of treatment within 24-48 h were 13.64% and 23.48% respectively. The proportion of courses of treatment within 48-72 h were 25.76% And 8.64%, respectively. The proportion of courses of treatment> 72 h was 43.94% and 8.27% respectively, while the selectivity of cefuroxime was 43.11% and 93.43% respectively. CONCLUSION: It is reasonable to prevent the use of antibacterial drugs in perioperative patients after special treatment. After special rectification, the rational use of antibacterials is promoted.