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目的探讨肝胆外科抗菌药物的合理应用及其评价分析。方法采用抗菌药物使用调查进行登记,按《肝胆外科学》手术切口分类法分类,对抗菌药物的合理性应用进行评价与分析。结果2005-2007年在肝胆外科267份病历中,使用抗菌药物235例,占88.01%,用于治疗的占18.30%,预防用药占81.70%,全身性用药占83.40%,在235例使用抗菌药物的肝胆患者中,只有38例做了药敏试验,其他均为经验性用药。结论医疗管理部门制定切实可行的抗菌药物使用制度、质量评价标准,定期进行质量考核,加强对抗菌药物的招标销售管理,按科学的理论要求合理使用抗菌药物,保证患者用药安全。
Objective To investigate the rational application and evaluation of antibacterials in hepatobiliary surgery. Methods The investigation of antibacterial drugs was used for registration. According to classification of surgical incision of “hepatobiliary surgery”, the rational application of antibacterials was evaluated and analyzed. Results Of the 267 medical records in hepatobiliary surgery from 2005 to 2007, 235 were antibiotics, accounting for 88.01%, accounting for 18.30%, prophylaxis 81.70%, systemic 83.40%, and antibiotics 235 Of hepatobiliary patients, only 38 cases of drug susceptibility testing, the other are empirical medication. Conclusion The medical management department should formulate feasible system and quality evaluation standards for antibacterial drugs, regularly conduct quality assessment, strengthen the management of bidding sales of antibacterial drugs, and make rational use of antibacterial drugs according to scientific theories to ensure the safety of patients.