某院2009年围术期抗菌药物应用分析

The Application Analysis of Antibiotics during Perioperative in A Hospital in 2009

目的了解河南濮阳市妇幼保健院围术期抗菌药物应用情况。方法抽取河南濮阳市妇幼保健院2009年1月至12月手术出院病例2086份,对抗菌药物的应用情况进行统计、分析。结果在2086份出院病例中,除17例未应用抗菌药物外,其余2069例均应用了抗菌药物,应用率达99.18%。抗菌药物品种应用最多的是头孢菌素类。单一用药者325例,2联用药者1713例,3联以上用药者31例。在应用抗菌药物过程中做过病原学检测和药敏试验的仅有19例。结论河南濮阳市妇幼保健院围术期抗菌药物的应用存在不合理性,应加强监管,促进抗菌药物的合理应用。

Objective To probe into the perioperative use of antibiotics of Puyang Maternal and Children Health Hospital. Methods 2086 medical records in 2009 were sampled for statistical analysis regarding the utilization of antibiotics. Results Of the 2086cases reviewed,2069 case （99.18%） received antibiotics versus 17didn’t.In terms of the application variety of antibiotics, Cephalosporins were predominantly used, followed in turn by penicillins. 325 cases used one kind of antibiotics, 1713 used two kinds and 31 used at least three kinds of antibiotics concomitantly. Only 19 cases received etiologic test and susceptibility test during antibiotic use. Conclusion The perioperative use of antibiotics of Puyang Maternal and Children Health Hospital is somewhat irrational, thus monitoring on which should be tightened to promote their rational use.