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目的:分析泌尿外科围手术期患者抗菌药物预防使用情况,为临床合理应用抗菌药物提供参考。方法:随机抽取川北医学院附属医院2016年1—6月间泌尿外科手术出院病例300例,对围手术期抗菌药物使用的合理性进行评价。结果:300例患者中预防使用抗菌药物206例占68.67%,合理使用抗菌药物有150例占72.82%;用药不合理主要表现为选药错误、用药疗程过长、无指征用药等。结论:该院泌尿外科围手术期患者预防用药存在使用率高、药物选择不合理、疗程过长等问题,需进一步规范。
Objective: To analyze the prevention and treatment of antimicrobial agents in patients undergoing perioperative urology and to provide reference for rational use of antimicrobial agents in clinic. Methods: Thirty patients discharged from urology department from January to June in 2016 were randomly selected from Affiliated Hospital of North Sichuan Medical College to evaluate the rationality of perioperative antibacterials use. Results: Of the 300 patients, 206 were used to prevent the use of antibacterials, accounting for 68.67%. The rational use of antibacterials was 150, accounting for 72.82%. Inappropriate use of drugs was mainly due to errors in drug selection, long course of treatment and no indication of drug use. CONCLUSION: There are some problems in the prevention and treatment of perioperative patients in urological surgery such as high usage rate, unreasonable drug selection and long course of treatment, which should be further regulated.