我院Ⅰ类切口手术围术期抗菌药物应用分析

Analysis of the Application of Antibiotics in TypeⅠ Incision Surgery in Our Hospital during Perioperative Period

目的:分析我院Ⅰ类切口手术围术期抗菌药物的应用情况。方法:随机抽取我院2011年4-9月的Ⅰ类切口手术病例,分析其抗菌药物应用情况。结果:954例患者中,有793例术前预防性应用抗菌药物,应用率达83.1%,均在术前0.5～2h给药。术后停药合理和基本合理者744例(78.0%);术前不用术后用和术后停药时间>48h者有83例,占8.8%,属不合理应用病例。结论:我院应继续加强围术期抗菌药物应用管理,严格遵循卫生部相关规定和《抗菌药物临床应用指导原则》,规范用药。

OBJECTIVE：To analyze the application of antibiotics in typeⅠ incision surgery in our hospital during perioperative period.METHODS：954 cases of typeⅠ incision surgery were randomly chosen from our hospital during Apr.-Sept.in 2011.The utilization of antibiotics was analyzed.RESULTS：Among 954 surgery inpatients,793 patients were given prophylactic application of antibiotics,and the utilization rate of antibiotics was 83.1%.They were given drugs 0.5～2 h before surgery.Drug withdrawal of 744 patients was reasonable basically after surgery（78.0%）.83 patients were given antibiotics after surgery rather than before surgery and drug withdrawal time was more than 48 h,who accouting for 8.8% were unreasonable cases.CONCLUSION：Clinicians should strengthen the management of antibiotics in our hospital during perioperation period and follow the regulations of Ministry of Public Health and Guidance for Clinical Use of Antibiotics strictly so as to standardize drug use.