我院Ⅰ类切口手术预防性应用抗菌药物调查分析

目的对江门市中心医院I类切口手术预防性应用抗菌药物情况进行调查分析。方法随机选取2010年1月～2011年1月江门市中心医院收治的I类切口手术患者82例,对其抗菌药物使用情况进行调查分析。结果抽取的82例Ⅰ类切口手术患者中男62例(占75.61%),女20例(占24.39%);年龄11～69岁,平均(42.21±1.21)岁;颈部外科手术31例(占37.80%),乳腺手术21例(占25.61%),腹外疝手术20例(占24.39%),骨科手术10例(占12.19%);手术前使用抗生素共计72例(占87.80%),术前未使用抗生素10例(占12.19%);术前<2h使用抗菌药物62例(占86.11%),术前>2h使用抗菌药物10例(占13.89%);适当延长抗菌药物预防性用药持续时间65例(90.28%),过长延长抗菌药物预防性用药持续时间7例(占9.72%);抗菌药物选择合理者64例(占88.89%),不合理8例(占11.11%)。结论目前本院Ⅰ类切口手术预防性应用抗菌药物情况比较合理,但仍存在抗菌药物使用时间过长、选取不正确等情况,需进一步提高临床医生的抗菌药物使用知识的了解,提高抗菌药物预防性应用的合理性。

Objective To investigate the type I incision operation preventive use of antimicrobial agents. Methods Randomly selected in our hospital from 2010 January to 2011 January 82 patients with type I incision operation,the use of antimicrobial drugs were investigated in these patients. Results The sample of 82 cases of patients with type I incision operation in male in 62 cases （75.61%）, 20 cases of female （24.39%）; age biggest 69 years old, the youngest 11 years old,mean age （42.21 ±1.21） years; 31 cases of surgical neck operation （37.80%）, 21 cases of breast operation （25.61%）, 20 cases of abdominal external hernia operation （24.39%）, 10 cases of Department of orthopedics operation （12.19%）. Before the operation, use of antibiotics in 72 cases （87.80%）, without preoperative use of antibiotics in 10 cases （12.19%）; less than 2 hours before the use of antibiotics in 62 cases （86.11%）, preoperative more than 2 hours of use of antibiotics in 10 cases （13.89%）; appropriate to extend the antibacterial drug prophylaxis is continuous time for a total of 65 cases （90.28%）, long duration prolonged prophylaxis of 7 cases of antibacterial drugs （9.72%）; 64 cases of rational selection of anfimicrobial drugs （88.89%）, irrational in 8 cases （11. 11%）. Conclusion The type I incision operation the prophylactic use of antibiotics is basically reasonable,but there are still used for a long time of antibiotics, and antibiotic selection is not correct the situation,to the hospital for fiarther improve the clinician＇s antimicrobial use knowledge,improve the rationality of prophylactic antimicrobial agents.