医院外科围手术期抗菌药物使用调查【1】
摘 要【2】
目的:了解某二级医院外科围手术期抗菌药物使用情况,分析其使用是否合理。 方法:对2006年1月~4月外科111例手术患者围手术期抗菌药物的使用情况进行统计分析,并作出有关合理性的评价。 结果:196例受调查病历中,采用围手术期预防性使用抗菌药物的111例次,围手术期抗菌药物使用率100%。预防用药起点过高,用药持续时间过长。 结论:外科围手术期预防性应用抗菌药物存在一定程度不合理性,应严格掌握各类手术预防用药的指征; 加强手术前期预防性用药的管理; 限制手术后期用药时间。【3】
关键词:外科围手术期;抗菌药物;预防用药【4】
Abstract
Aim:To know the present situation and evaluate the rationality on perioperative antibiotic prophylaxis in general surgery . Method:The usage of perioperative antibiotic prophylaxis in general surgery was surveyed.One hundred and eleven selected patients were randomly picked-up from all patients from Jan 2006 to Apr 2006 to evaluate the rationality on antibiotic prophylaxis. Results:A total of 196 surgical patients in general surgery were surveyed. Perioperative antibiotic prophylaxis was used in 111 cases and the rate of antibiotic usage was 100%. Antibiotics was used in all surgical cases.The using rate of prophylactic antibiotic was high,and continuing prophylactic antibiotic usage beyond the standard recommendations was too long. Conclusion:Prophylactic antibiotic usage in perioperative period still has some problems.In order to administ rate antimicrobials rationally and to prevent the postoperative infections, the perioperative administ ration of antimicrobials for prophylaxis needs to reach a higher level, and the following measures need to be emphasized: to familiarize with the indication of prophylactic medication of various operations; to control preoperative prophylactic medication; to limit the period of postoperative medication.
Keywords:perioperative period in general surgery,antibacterial drug,prophylaxis