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目的:分析Ⅰ类切口围术期患者预防用抗菌药物的相关因素,为合理使用和规范抗菌药物管理提供参考。方法:抽取2015年10月—2016年10月间174份Ⅰ类切口手术患者病历,分析其抗菌药物预防使用的相关情况。结果:174例Ⅰ类切口手术患者中,108例在围术期预防使用抗菌药物,使用率为62.07%;术前0.5~2 h给药91例占84.26%,术前<0.5 h给药9例占8.33%,仅术后预防给药8例占7.41%;术后平均用药为4.31 d。结论:Ⅰ类切口围术期患者预防使用抗菌药物存在指征把握不严、抗菌药物预防使用率偏高、首次给药时机不合理及术后用药持续时间过长等问题,有待进一步规范化管理。
OBJECTIVE: To analyze the related factors of preventive antibacterials in type I perioperative patients and provide references for the rational use and standardization of antibacterials management. Methods: A total of 174 patients with type Ⅰ incision surgery from October 2015 to October 2016 were selected for medical records, and their antimicrobial drug use was analyzed. Results: Among the 174 cases of type Ⅰ incision surgery, 108 cases were used during the perioperative period to prevent the use of antibacterial drugs, the utilization rate was 62.07%; 91 cases accounted for 84.26% 0.52 h before operation and 0.5 h before operation Cases accounted for 8.33%, only 8 cases of postoperative prophylaxis accounted for 7.41%; average postoperative medication was 4.31 d. CONCLUSION: I type of perioperative patients with anti-bacterial use of anti-bacterial indications lax strict indications, anti-bacterial drug use rate is too high, the timing of the first administration is unreasonable and the duration of medication is too long and other issues to be further standardized management.