摘要
目的:探讨Ⅱ类切口(清洁-污染切口)手术患者皮肤切开前抗菌药物的给药情况及主要影响因素。方法:在我院手术室随机观察Ⅱ类手术患者切开皮肤前抗菌药物的给药情况,分析存在的问题。结果:在观察用药的118例患者中,有61例由手术室护士于切开皮肤前30min内按常规顺序给药,50例经干预于切开皮肤前30~60min内给药,7例未用药。切开皮肤前60min内用药率达94.06%。影响给药时间的因素包括皮试结果、手术开始时间不确定、医嘱问题、药品错误及交接班不清。结论:确保术前预防性抗菌药物正确应用,需加强相关人员的协作和配合。
OBJECTIVE:To explore prophylactic application of antibiotics before type Ⅱ incision surgery (clean-contaminated incision) and identify the major influencing factors of it.METHODS:Prophylactic application of antibiotics in patients undergoing type Ⅱ incision surgery in operation room of our hospital was observed to analyze the problems.RESULTS:Of observed 118 cases,61 cases were given medicine by nurses within 30 min before incision,while 50 cases were given medicine within 30~60 min before incision and 7 cases didn't use any kind of antibiotics.The rate of prophylactic application of antibiotics within 60 minutes before incision was 94.06%.Relevant influencing factors included dermal test,operation duration,the link of prescription,medicine taking and handover.CONCLUSION:It is necessary to strengthen cooperation and coordination with relevant personnel in surgical environment to ensure appropriate prophylactic application of antibiotics.
出处
《中国药房》
CAS
CSCD
北大核心
2011年第18期1646-1648,共3页
China Pharmacy
基金
重庆市卫生局2010年度医学科研计划项目(2010-2-052)
重庆医科大学附属第一医院护理科研基金(HLJJ2010-07)
关键词
Ⅱ类切口
预防用药
抗菌药物
护士
手术室
Type Ⅱ incision
Prophylactic use of drugs
Antibiotics
Nurse
Operation room