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目的分析该院Ⅱ类切口手术围术期抗菌药物预防使用情况,评价其合理性,为医院制定抗菌药物相关管理措施提供参考。方法随机抽取该院2014年Ⅱ类切口手术病历600份,对其抗菌药物的应用进行统计分析。结果在600份病例中,有效病历数554份,抗菌药物预防使用率100%,平均预防用药时间7.11d,联合用药率5.05%(28/554)。抗菌药物使用不合理主要表现为药物品种选用不当和术后预防用药疗程长。结论我院Ⅱ类切口手术围手术期抗菌药物预防使用问题较多,医院应该制定相应措施进行规范。
Objective To analyze the prevention and treatment of antimicrobial agents during the perioperative period and to evaluate the rationality of the antimicrobial agents for class Ⅱ incision in this hospital and provide references for the hospital to formulate antimicrobial drug management measures. Methods A total of 600 surgical records of type II incision in our hospital were randomly selected in 2014, and their antibacterials were analyzed statistically. Results Among 600 cases, 554 effective medical records, 100% prevention and treatment of antibacterials, 7.11 days average preventive medication and 5.05% (28/554) were used together. Irrational use of anti-bacterial drugs mainly for the improper selection of drug varieties and preventive treatment medication long. Conclusion There are many problems in prevention and treatment of perioperative antimicrobial agents in class Ⅱ incision in our hospital. The hospital should formulate corresponding measures to regulate it.