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目的了解医院手术患者在围手术期预防性使用抗菌药物的现状,为加强抗菌药物应用管理提供依据。方法通过回顾性调查方法,选择某驻军医院Ⅰ类切口手术患者围手术期预防性使用抗菌药物情况进行了调查与分析。结果连续2年调查发现,该医院I类切口手术患者在围手术期全部给予预防性使用抗菌药物,患者用药延续到术后48 h以上。在预防性使用抗菌药物的患者中,有19.7%采用联合用药。结论该医院I类切口手术患者围手术期预防性使用抗菌药物比率过高,存在联合用药和使用周期过长的现象,属于明显不合理用药。
Objective To understand the status of prophylactic use of antimicrobial agents in perioperative hospital patients and provide basis for strengthening the administration of antimicrobial agents. Methods A retrospective investigation was conducted to investigate the perioperative prophylactic use of antibacterials in patients undergoing Class I incision in a garrison hospital. The results of 2 consecutive years of investigation found that the class I patients undergoing surgical incision in the perioperative prophylactic use of antimicrobial agents, the patient’s medication extended to more than 48 h after surgery. Of the patients who used antimicrobials prophylactically, 19.7% used combination therapy. Conclusions The rate of perioperative prophylactic use of antimicrobial agents in patients with type I incision in this hospital is too high. There is a combination of drugs and prolonged use of drugs, which is obviously irrational drug use.