围术期抗菌药物使用分析

Application of antimicrobials in perioperative period

目的:分析4种清洁手术围术期抗菌药物的使用情况,以加强抗菌药物应用的管理。方法:采用现场调查480例清洁手术围手术期使用抗菌药物的情况。结果:286例患者预防性使用了抗菌药物(59.58%)。于术前30min至2h给药259例(90.56%),未注明用药时间16例(5.59%),术后给药11例(3.85%)。预防性使用抗菌药物时间在24h以内172例(60.14%),48h以内237例(82.87%)。使用最多的为头孢呋辛钠,无联合用药病例。结论:调查发现在预防性使用抗菌药物时存在不合理现象。

Objective. To strengthen the management of antimicrobials usage by analyzing the appli-cation of antibiotics in perioperative period of 4 ing antibiotics usage in 480 cases was collected were given prophylactic antibiotics （59.58%）. aseptic operations. Methods. Information concern-through site investigation. Results. Total 286 cases Among them, the timing of administration of antibi-otics was 30 min-2 h before operation for 259 cases （90. 56%）, unknown for 16 cases （5.59%）, after operation for 11 cases （3.85 %）. 172 cases were treated with prophylactic antibiotics within 24 h （60.14%）%, and 237 cases within 48 h （82.87M）. No case received combination of antibiotics, and the most used antibiotic was cefuroxime sodium. Conclusion. The application of antibiotics is still irrational, and hospital should strengthen the management of antibio prophylactic tics.