92例胆道手术患者抗菌药物使用情况分析

Perioperative use of antibacterials in patients for biliary tract surgery:analysis of 92 cases

目的了解我院胆道手术病例抗菌药物的应用情况,促进临床合理应用抗菌药物。方法随机抽查我院2008年胆道手术归档病历92份,对使用抗菌药物数据进行统计分析。结果92份病例共涉及8大类26种药物:头孢菌素类12种,青霉素类4种,喹诺酮类3种,硝咪唑类和氨基糖苷类各2种,其他类各1种。单一用药75例(81.52%),二联用药16例(17.39%),三联用药1例。结论我院胆道手术病例围手术期抗菌药物的使用时机和疗程尚合理。但在抗菌药物级别的选择方面,要尽量结合病原学检查结果,以增强抗菌药物使用的合理性。

Objective To investigate the rational use of antibacterial in biliary tract surgery of our hospital,in order to promote the clinical use of antibacterials. Methods 92 medical records of biliary tract surgery in our hospital in 2008 were selected randomly ,and the data of antimicrobial agents use were carried out by statistical analysis. Results There were a total of 8 categories of 26 drugs in 92 cases： 12 kinds of eephalosporins ,4 kinds of penicillins ,3 kinds of quinolones,2 kinds of aminoglyeosides and imidazole nitramine respectively and other types （each contains one kind）. There were 75 cases using single drug（81.52% ） ,16 cases using two-drug （ 17. 39% ） ,and only one case using three-drug. Conclusion The use time and course of perioperative use of antibacterials in our hospital are rational for biliary tract surgery. However, in the choice of level of antibacterials, we should accord to the results of the examination of pathogeny, and enhance the rationality of antibacterials use.