3种清洁手术围术期应用抗菌药物156例分析

Analysis of perioperative use of antibiotics in 156 patients undergoing three types of aseptic operation

目的了解本院甲状腺、疝气和乳腺3种清洁手术抗菌药物预防使用情况。方法对2010年1～12月本院156例甲状腺、疝气和乳腺手术患者围术期抗菌药物应用情况进行回顾性调查。结果清洁切口预防用药率达93.58%。不合理用药主要为无指征用药、给药时机不当、术后用药时间过长、无指征联合用药等。结论清洁切口围术期预防使用抗菌药物需要严格掌握用药指征及用药的时机,术后用药总时间应遵循相关指导原则。

Objective To investigate the preventive use of antibiotics in patients undergoing thyroid, hernia or breast surgery in our hospital. Methods The preventive use of antibiotics in 156 patients who undergoing thyroid, hernia or breast surgery in our hospital from January 2010 to December 2010 were reviewed retrospectively. Results The rate of prophylactic antibiotics of clean incision was 93.58%. Improper administration was mainly that used antibiotic medication without indi- cations, improper administration of the timing, given the antibiotic medication too long after surgery, combination therapy without indications, etc. Conclusion The preventive use of antibiotics in clean incision needs master drug indications strictly and the drug timing. The medication total time postoperative should follow the guiding principles.