我院Ⅰ类切口手术患者抗菌药使用分析

Analysis of Antibiotic Prophylaxis and Healing of Type Ⅰ Perioperative Incision in our Hospital

目的:了解我院Ⅰ类切口围手术期预防性使用抗菌药的现状及切口愈合情况,为我院抗菌药的管理提供数据支持,为合理用药提供参考。方法:采用回顾性调查,抽取本院2011年5～6月出院的Ⅰ类切口手术的所有病案,记录患者基本信息、手术信息、切口愈合信息和抗菌药信息,对其进行统计分析。结果:共调查1048例Ⅰ类切口手术病案,预防性使用抗菌药的有689例(65.7%),其中选药合理的有562例(81.6%);切口愈合等级为甲级1037例(99.0%),乙级11例(1.0%);首次用药时机在术前30 min～2 h 319例(30.4%);预防性使用疗程≤48 h 857例(81.8%)。结论:本院I类切口围手术期预防性使用抗菌药合理性有明显进步,也存在一些不合理使用现象,还需进一步建立健全合理应用抗菌药管理制度。

Objective：To investigate perioperative prophylactic use of type Ⅰ incision in our hospital to provide a scientific evidence for making relevant policies and references for rational drug use.Methods;All the cases with type Ⅰ incision from March to June in 2011 in our hospital were retrospectively investigated and analyzed in respect of their basic information, surgery situation,incision healing information and antibiotic prophylaxis status.Results;Among 1 048 cases with type Ⅰ incision investigated,689 cases used antibiotic prophylaxis（the ratio was 65.7%） and 562 cases used rational antibiotics（the ratio was 81.6%）.The healing grade of the 1 037 cases was A grade（the ratio was 99.9%） while that of 11 cases was B grade（the ratio was 1.0%）.The time to give 319 cases（the ratio was 30.4%） antibiotic prophylaxis was from 30 minutes to 2 hours before operation,and 857 cases used antibiotic prophylaxis within 48 hours（the ratio was 81.8%）.Conclusion; The perioperative prophylactic use of typelincision was still irrational,though it was more reasonable than before.It is suggested that perioperative prophylactic use in typelincision should be further supervised.