我院Ⅰ类切口手术围术期预防使用抗菌药物调查分析

Rational Use of Antibiotics at Class Ⅰ Incision Perioperation

目的分析我院2009年甲状腺、乳腺手术、疝气修补术三种Ⅰ类切口手术围术期预防用抗菌药物的合理性。方法采用回顾性调查方法,随机选取我院2009年1～12月归档病历120例,进行手术部位感染情况及其围手术期抗菌药物应用分析。结果 120例Ⅰ类切口手术无继发医院感染,抗菌药物使用率为81.6%,合格率为86.7%。围术期预防用抗菌药物,在选药、用药时机方面都比较合理。结论医院采取的干预措施有效、可行,可降低抗菌药物费用,显著提高抗菌药物的合理使用率。

Objective To analyze the rational use of antibiotics at perioperative period of Class I incision operations including thyroid surgery, breast surgery, hernia repairing. Methods We randomly selected archiving medical record 120 cases in our hospital from Jan. to Dec. 2009 by using a retrospective survey and to 12 month, surgical site infection and analyzed the incidence of the surgical site infection （SSI） and the antibiotic use. Results No secondary hospital infection was found, the antibiotics usage rate was 81.6% and the reasonable rate was 86.7%. The selection of perioperative prophylactic antibiotics and the timing of medication were reasonable. Conclusion Hospital interventions are effective and feasible, and can reduce the cost of antimicrobial drugs and significantly improve the rational usage of antimicrobial agents.