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目的:分析清洁手术抗菌药的应用情况,促进临床合理用药。方法:采用回顾性调查的方法,对192例清洁手术患者抗菌药应用情况进行统计分析。结果:192例清洁手术患者全部使用抗菌药,使用率为100%。平均用药时间(6.87±3.26)d,术后用药4～7 d者118例,占61.5%,>7 d者49例,占25.5%。共使用抗菌药6类24种,其中β内酰胺酶抑制剂复方制剂56例次,占26.3%,一代头孢51例次,占23.9%,青霉素类29例次,占13.6%。人均抗菌药费为(984.09±940.22)元,占总药费的61.28%。结论:我院清洁手术预防性应用抗菌药存在不合理现象,应加强管理。
Objective: To analyze the application of clean surgical antibiotics to promote clinical rational use of drugs. Methods: A retrospective survey of 192 cases of antibiotics in patients with clean surgery for statistical analysis. Results: All the 192 patients undergoing clean operation received antibacterial drugs, the rate of use was 100%. The average duration of medication (6.87 ± 3.26) d, 118 cases of postoperative medication 4 to 7 days, accounting for 61.5%, 49 cases of> 7 d, accounting for 25.5%. A total of 24 kinds of antimicrobial agents were used in 6 categories, of which 56 cases were β-lactamase inhibitor preparations, accounting for 26.3%, 51 cases of first-generation cephalosporins, accounting for 23.9% and penicillins 29 cases, accounting for 13.6%. The per capita antibacterial drug cost was (984.09 ± 940.22) yuan, accounting for 61.28% of the total drug cost. Conclusion: There is an irrationality in the prophylactic use of antibacterials for clean operation in our hospital, and we should strengthen management.