2008年我院200例外科围手术期患者抗菌药物预防性应用合理性分析

Perioperative Application of Antibiotics:Analysis of 200 Surgical Case in Our Hospital in 2008

目的:了解我院外科围手术期患者抗菌药物的应用情况。方法:对我院2008年10月至12月200例外科围手术期患者(Ⅰ类切口80例。Ⅱ类切口120例)的用药情况进行回顾性分析。结果:Ⅱ类切口手术中头孢菌素类应用频率最高,其次为林可霉素类、青霉素类、喹诺酮类、大环内酯类、硝基咪唑类、氨基糖苷类。结论:应强化医师围手术期预防性应用抗菌药物的合理化意识,以便有效地降低围手术期切口的感染率,降低患者治疗费用。

Objective： To analysis the application status of antibiotics in perioperative patients of our hospital. Methods： The use of antibiotics in 200 perioperative patients （80 with type Ⅰ incisions and 120 with typeⅡ incisions） from October to December in 2008 were analyzed retrospectively. Results： In the patients with type Ⅱ incisions, Cephalosporins took the lead on the list of DDDs, followed by Lincomycins, Penicillin, FQNS, MIs, Nitroimidazole, and Aminoglycosides. Conclusion： Physicians should have an increased awareness to the rational prophylactic use of antibiotics in perioperative patients to lower the perioperative infection rate of incisions and the fee of treatment.