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360例外科围术期预防性应用抗菌药物调查分析 被引量:2

Perioperative Use of Prophylactic Antibiotics in Surgical Patients:Review of 360 Cases
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摘要 目的:了解外科围术期预防性应用抗菌药物现状及合理性。方法:采用回顾性调查方法,根据抗菌药物应用合理性判断标准进行判断。结果:360例手术病历抗菌药物预防性使用率100.00%。其中,Ⅰ类切口手术204例,合理的有2例(0.98%);Ⅱ类切口手术146例,合理9例(6.16%);Ⅲ类切口手术10例,合理1例(10.00%),总合格率为3.61%。用药时间正确16例(4.44%);选用的药物超标准的320例(88.89%),术后用药时间正确的13例(3.61%)及联合用药不合理(包括无指征)的191例(53.06%)。结论:围术期预防性应用抗菌药物的合理性不容乐观。 OBJECTIVE: To investigate the status quo and rationality of the perioperative use of prophylactic antibiotics in surgical patients.METHODS: By a retrospective study,the rationality of perioperative use of prophylactic antibiotics was evaluated in accordance with the criteria for the rational use of antibiotics.RESULTS: Of the 360 cases,the rate of antibiotic use was 100.00%.The rational use of antibiotics was noted in only 2 cases(0.98%) of the total 204 type Ⅰ incision patients,9 cases(6.16%) of the total 146 type Ⅱ incision cases and 1(10.00%) of the total 10 type Ⅲ incision cases,with a total rational drug use rate of 3.61%.16 cases(4.44%) were rational in medication time;Off-standard use was noted in 320 cases(88.89%);13 cases(3.61%) were rational in postoperative administration time;191 cases(53.06%) were irrational in drug combination(including off-indication use).CONCLUSION: The perioperative use of prophylactic antibiotics in surgical patients is far from optimistic.
出处 《中国医院用药评价与分析》 2011年第4期344-346,共3页 Evaluation and Analysis of Drug-use in Hospitals of China
关键词 围术期 预防用药 抗菌药物 调查分析 合理用药 Perioperative period Preventive use Antibiotics Review Rational drug use
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