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目的了解该院骨科Ⅰ类切口手术应用抗菌药物的情况,评价骨科Ⅰ类切口手术应用抗菌药物的合理性,为临床合理用药提供参考。方法对2013年7~12月该院588例骨科Ⅰ类切口手术抗菌药物使用情况进行回顾性调查与分析。结果 588例骨科手术患者有432例使用了抗菌药物,使用的药品主要为五水头孢唑林钠、头孢硫脒、克林霉素磷酸酯等。不合理用药主要表现在抗菌药物使用率过高、药物选择不合理、预防性用药时机和疗程不合理。结论专项整治后该院骨科Ⅰ类切口手术应用抗菌药物仍存在一些不合理现象,应加强质量监控,规范用药行为,提高医疗质量,确保用药安全、有效。
Objective To understand the application of antibacterials in Class Ⅰ incision in orthopedics in our hospital and to evaluate the rationality of antibacterials in class Ⅰ incision operation in orthopedics. Methods A retrospective investigation and analysis of the use of antibacterials in 588 orthopedic class Ⅰ incisions in our hospital from July to December in 2013 were conducted. Results Of the 588 cases of orthopedic surgery, 432 patients used antimicrobial drugs. The drugs used were cefazolin sodium pentahydrate, cefathiamidine, clindamycin phosphate and so on. Irrational use of drugs is mainly manifested in the high use of antibacterial drugs, drug selection is not reasonable, prophylactic medication timing and treatment is not reasonable. Conclusion There are still some irrational problems in the application of antibacterial drugs in orthopedic surgery after orthopedic surgery in the hospital. Special attention should be paid to quality control, standardization of drug use, improvement of medical quality and safety and effectiveness of medication.