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目的了解医院Ⅰ类切口围手术期抗菌药物的应用现状及合理性。方法随机抽取360例2009年9月至2011年8月Ⅰ类切口围手术期患者,进行回顾性调查。结果抗菌药物使用率为95.83%,指征预防用药不合理为21.45%,预防用药首次使用时间不合理为33.06%,术后给药时间不合理31.11%。结论应加强围手术期抗菌药物的应用的管理和监督,促进临床医师合理用药。
Objective To understand the application status and rationality of perioperative antibacterials in class Ⅰ incision in hospital. Methods A total of 360 perioperative patients with type Ⅰ incision from September 2009 to August 2011 were randomly selected for retrospective investigation. Results The antibacterials usage rate was 95.83%, irrational indications for prophylaxis was 21.45%, prophylactic use for the first time was 33.06%, postoperative administration time was unreasonable 31.11%. Conclusion The management and supervision of the application of perioperative antibiotics should be strengthened to promote the rational use of clinicians.