神经外科夫西地酸应用情况及合理性分析

Status and Rationality of Utilization of Fusidic Acid in Neurosurgical Patients

目的:考察神经外科夫西地酸(FA)使用情况和合理用药分析。方法:随机抽取住院病房病案,采用Excel数据处理进行统计的方法对我院近3年来神经外科住院病历进行调查,分析FA的应用情况及不合理因素。结果:随机抽取FA病历150例,有效病历136例,围术期预防性用药132例,Ⅰ类切口116例,使用不合理主要表现在预防应用未按《抗菌药物临床应用指导原则》执行,用法用量错误,给药方案,合并用药等方面。结论:我院神经外科FA应用存在不合理现象,应加强对临床合理用药培训和相关指导原则的学习。

OBJECTIVE：To investigate the status and rationality of using fusidic acid（FA） in neurosurgical patients.METHODS：By a random sampling of the inpatients,the medical records in the neurosurgical department in recent 3 years were reviewed to analyze the status and rationality of the utilization of FA by using Excel data processing.RESULTS：A total of 150 FA medical records were randomly selected,of which,136 were valid,132 had perioperative preventive use of antibiotics,and 116 had type I incisions.The irrationality in the use of antibiotics manifested as failure to follow guiding principle for clinical use of the antibiotics in the preventive medication,errors in administration and dosage,dosage regimens and combined drug use etc.CONCLUSION：The use of FA in neurosurgical patients is somewhat irrational,thus it is necessary to tighten training on clinical rational use of drugs and learning on relative guiding principles in clinic.