Ⅰ类切口围手术期预防用抗菌药物的调查分析

Analysis of prophylactic use of preoperative anti-bacterial in typeⅠincision operations

目的分析某三甲医院Ⅰ类切口手术预防性使用抗菌药物的合理性。方法抽取某院2012年5月至2013年5月Ⅰ类切口手术出院病历共251份,回顾性调查分析预防性使用抗菌药物情况。结果抗菌药物使用率为98.41%,使用抗菌药物的247例病例中,第一代头孢菌素使用率为28.57%,术前0.5-2h抗菌药物的使用率为61.94%。应用疗程控制在术后48h内的手术例数占样本总数的14.17%。结论该院Ⅰ类切口手术预防用抗菌药物存在不合理现象,需进一步规范。

Objective To investigate the rationality of prophylactic use of antibacterial in 251 type Ⅰ incision operations .Methods The antibacterial use of 251 type Ⅰ incision operations sampled randomly from May 2012 to May 2013 were retrospectively analyzed .Results The prophylactic antibiotics rate was 98 .41% in the 251 cases of the type Ⅰ incision;among the 247 cases used antibacterial ,the utility rate of first generation cephalosporin antibiotic was 28 .57% after surgery and the rate of prophylactic antibiotic use within 0 .52 h before operation was 61 .94% .14 .17% of antibiotic treatment was finished within 48 h after surgical operation .Conclusion There was the unreasonable situation in the prophylactic use of antibacterial , w hich need to be improved .