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目的了解医院Ⅰ类切口手术围手术期抗菌药物使用情况,为持续改进全国抗菌药物临床应用抗菌药物专项整治活动方案提供参考。方法随机抽取医院腹股沟斜疝修补术、甲状腺疾病手术、乳腺疾病手术、关节镜检查术、白内障手术等Ⅰ类切口手术出院患者的病历360例进行分析。结果在360例Ⅰ类切口手术中,围手术期预防使用抗菌药物136例占37.78%,预防用第一代头孢菌素类占34.56%、第二代头孢菌素类占33.82%。结论医院Ⅰ类切口手术围手术期抗菌药物应用仍然存在不合理的用药情况,医院需结合有关规定进一步加强改进。
Objective To understand the perioperative use of antimicrobial agents in class Ⅰ incision in hospitals and provide references for the continuous improvement of the national antimicrobial drug regimen programs. Methods A total of 360 hospitalized patients with type I incision surgeries, including inguinal hernia repair, thyroid disease surgery, breast disease surgery, arthroscopy and cataract surgery, were randomly selected for analysis. Results In 360 cases of type Ⅰ incision surgery, perioperative prevention of antibiotics in 136 cases accounted for 37.78%, prevention of first-generation cephalosporins accounted for 34.56%, second-generation cephalosporins accounted for 33.82%. Conclusion There are still some unreasonable use cases of antimicrobial agents in the perioperative period of class Ⅰ incision in hospital. The hospital should further improve the relevant regulations.