论文部分内容阅读
目的调查我院胃肠外科手术患者围手术期抗菌药物预防使用现状,进一步推动围手术期预防用药合理化。方法对210例Ⅰ类与Ⅱ类手术切口患者围手术期抗菌药物预防性使用情况进行回顾性调查。结果208例患者使用了抗菌药物,术前30min、术前2h及术后预防使用抗菌药物者分别占6.73%,13.94%,79.33%。喹诺酮类药物使用率最高,其次是三代头孢菌素类、青霉素类;术后单用、二联、三联应用抗菌药物的比例分别为66.83%,25.48%,7.69%。I类切口平均用药时间为5.56d,≤3d者39例(29.32%);Ⅱ类切口平均用药时间为7.15d,≤3d者19例(25.33%)。结论基层医院胃肠外科普遍采用抗菌药物预防手术感染,但严格按围手术期预防用药原则应用者少,必须加强抗菌药物围手术期应用的管理。
Objective To investigate the status of prevention and treatment of perioperative antibiotics in patients with gastrointestinal surgery in our hospital and further promote the rationalization of perioperative prophylaxis. Methods A retrospective investigation was conducted on the prophylactic use of antibiotics in 210 cases of type Ⅰ and Ⅱ surgical incisions. Results Antimicrobial agents were used in 208 patients, accounting for 6.73%, 13.94% and 79.33% of the total, respectively, preoperative 30min, preoperative 2h and postoperative prophylaxis with antibiotics. Quinolones were the most frequently used drugs, followed by third-generation cephalosporins and penicillins. The rates of single, double and triple antibacterials were 66.83%, 25.48% and 7.69% respectively. The average time for class I incision was 5.56 days, and 39 cases (29.32%) were less than 3 days. The mean duration of incision was 7.15 days for class II incision and 19 cases (25.33%) were for 3d days. Conclusions Primary gastrointestinal surgery in hospitals is generally used anti-bacterial drugs to prevent surgical infections. However, strict application of perioperative prophylaxis should be emphasized. Perioperative management of antimicrobial agents must be strengthened.