论文部分内容阅读
目的:调研本院眼科清洁手术围术期抗菌药物使用现状,为制订相关干预措施提供依据。方法:采用回顾性调查方法,对眼科2008年归档病例进行围术期用药调查,用表格形式进行统计。结果:1963例进行白内障晶体植入手术,其中1946例(99.13%)预防性使用了抗菌药物,无感染病例发生;首次给药时间为术前0.5-2小时221例,术前24小时114例,术后当日1611例;预防性用药病例术后1-3天停药428例,4-6天停药1235例,大于等于7天停药283例。使用青霉素类293例;喹诺酮类325例;头孢3代939例;头孢4代112例。结论:白内障晶体植入手术属清洁手术,围术期存在抗生素滥用和用药时间过长问题,提示眼科围术期抗生素使用管理亟待加强和干预。
OBJECTIVE: To investigate the status of perioperative antibiotic use in ophthalmology and ophthalmology in our hospital and provide the basis for the formulation of relevant interventions. Methods: A retrospective survey was conducted to investigate the perioperative medication of archived cases in ophthalmology in 2008, and statistics were carried out by tabular form. Results: 1963 cases were treated with cataract extraction. Among them, 1946 cases (99.13%) used prophylactic antibiotics without infection. The first administration time was 221 cases in 0.5-2 hours before operation and 114 cases in 24 hours before operation , 1611 cases on the day after the operation; 428 cases were discontinued in 1-3 days after the preventive medication, 1235 cases were discontinued in 4-6 days, and 283 cases were stopped in 7 days or more. There were 293 penicillins, 325 quinolones, 939 cephalosporins, and 112 cephalosporins. CONCLUSION: Cataract implantation is a clean operation. There is a problem of abuse of antibiotics during the perioperative period and overdosage of antibiotics. This suggests that the administration of antibiotics in ophthalmology should be strengthened and interfered.