外科围手术期抗菌药物应用的分析

Analysis on Application of Antibiotics in Perioperative Period of Surgical

目的了解我院外科围手术期抗感染药物使用情况,为今后我院外科手术合理预防应用干预模式提供依据。方法采取随机抽样,对2009年度,2010年度2011年度及2012年度同期普外科,泌尿外科、骨科择期手术患者360例进行回顾性调查。结果Ⅰ类手术预防用药率逐年降低,Ⅱ类手术术后联合用药率降低。麻醉诱导期给药率逐年增高,三代头孢药物使用率逐年降低。结论对外科围手术期抗菌药物应用未执行临床指导原则,采取行政干预与宣传教育,临床药师依据本院情况进行有效指导及临床用药干预,以及医院行政干预,有效的改善我院抗菌药物的合理使用,对促进合理用药,降低单病种治疗费用,预防医院感染起到积极的促进作用。

Objective Understand the surgical perioperative use of antibiotics in our hospital,surgery in our hospital in the future provide a basis for reasonable preventive intervention model.Methods Take random sampling,in 2009,over the same period of 2010,2011 and 2012 general surgery,urology,orthopaedic surgery patients of 360 cases of retrospective survey.Results Ⅰoperative preventive medication rates reduced year by year,type Ⅱ combined rate after surgery to reduce.During induction of anesthesia delivery rates increase year by year,third generation cephalosporin drugs usage reduced year by year.Conclusion Did not perform on application of antibiotics in perioperative period of surgical clinical guidelines,administrative intervention and education,clinical pharmacist in accordance with this condition for effective guidance and clinical interventions,and hospital administrative interference,effectively improve the rational use of antibacterial drugs in our hospital,in promoting rational drug use,reduce the cost of single disease treatment and prevention of hospital infections play a positive role in promoting.