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目的了解我院围手术期预防使用抗菌药物的现状并评价其合理性,促进围手术期合理预防用药。方法采用回顾性分析,统计围手术期预防使用抗菌药物情况,并评价其合理性。结果 270例手术病例中有231例预防使用抗菌药物,68.8%术前用药时间合理,71.0%术中用药合理,较多病例术后用药时间不合理。Ⅰ、Ⅱ、Ⅲ类手术切口类型占67.5%、22.1%、10.4%,围手术期预防使用抗菌药物单一用药占54.1%,两药联用占38.5%,多药联用占7.4%。共涉及20个药品,其中头孢菌素最多,静脉滴注是主要给药途径。结论我院预防使用抗菌药物尚存在某些不合理之处,应加强管理。
Objective To understand the perioperative prevention and treatment of antibiotics in our hospital status and evaluate the rationality of rational use of perioperative prevention. Methods A retrospective analysis was conducted to evaluate the prevention of the use of antimicrobial agents in the perioperative period and to evaluate their rationality. Results Of the 270 surgical cases, 231 were preventing the use of antimicrobial agents, 68.8% were premedicated, 71.0% were intraoperatively rational, and most of the cases were not treated properly. The types of surgical incisions of type Ⅰ, Ⅱ and Ⅲ accounted for 67.5%, 22.1% and 10.4% respectively. The single use of antibiotics in perioperative period accounted for 54.1%, the combination of two drugs accounted for 38.5% and the combination of multiple drugs accounted for 7.4%. A total of 20 drugs involved, of which cephalosporins up, intravenous infusion is the main route of administration. Conclusion There are some unreasonable aspects in preventing the use of antibiotics in our hospital, and we should strengthen the management.