某院肝胆外科抗菌药物使用情况专项分析

Analysis the use of antibiotics in patients of the Department of Hepatobiliary Surgery

目的调查某院肝胆外科抗菌药物使用的合理性。方法随机抽查某院2017年9月~2017年11月肝胆外科出院病历150份,对抗菌药物的使用情况进行分析统计。结果 150例病例中有115例使用了抗菌药物,使用率为76.7%;联合用药的比例为65.2%;抗菌药物选择以头孢呋辛为主,并常联合应用奥硝唑;抗菌药物的预防和治疗的时机控制较为合理。结论该院肝胆外科抗菌药物选择和使用疗程较为合理,但应注意联合用药偏多的问题。

Objective To evaluate the rationality of antibiotics use in the Department of Hepatobiliary Surgery in our hospital. Methods 150 cases of patients in the Department of Hepatobiliary Surgery were randomly selected during September to November in 2017. Their medical records were collected and the rationality of antibiotics use was analyzed. Results Out of these 150 patients, 115 patients（67.7%） were treated with antibiotics. About 65.2% patients were treated with more than one antibiotics simultaneously. Cefuroxime was used most frequently and often combined with ornidazole. The time of use antibiotics for prevention and treatment of infections was reasonable. Conclusion The rate of patients treated with combination use of antibiotics was high, which we should pay much attention on details.