2013年7月份某医院Ⅰ类切口手术围手术期抗菌药物使用情况

The perioperative antibiotics use in type I incision surgery in a hospital July 2013

目的分析某医院Ⅰ类切口手术围手术期抗菌药物的预防使用情况。方法采用回顾性调查方法,随机抽取该院2013年7月份50份Ⅰ类切口手术病历,对预防使用抗菌药物情况进行统计分析,评价其合理性。结果 50例Ⅰ类切口手术使用抗菌药物比例达100%,4例合理,46例不合理,患者平均住院天数11.54d,抗菌药物平均费用比为32.70%,不合理情况中比例较高的是超品种用药、预防用药起点过高,占29.25%,抗菌药物使用最多的是注射用美洛西林钠/舒巴坦钠,占48.00%。结论该院Ⅰ类切口手术围术期预防性使用抗菌药物存在较多不合理现象,有待采取有效措施进行临床用药干预。

Objective To analyze the prophylactic use of antibiotics in type I incision surgery during perio-perative period in a hospital. Methods A retrospective survey was done for 50 cases history chosen randomly from the patients who underwent type I incision operation at the hospital July 2013.The prophylactic use of an-timicrobial drug was statistically analyzed.The rationality of prevention use of antibacterial drugs in peri-op-erative period was evaluated. Results The utilization rate of antimicrobial drugs in 50 cases underwent type I incision surgery was 100%,only 4 of 50 cases were rational,46 of them were irrational,the average hospitali-zation time was 1 1.54 days,the average expense rate of antibacterial drugs was 32.70%.The most irrational cases were the antibacterialdrugs that doctors used exceeding the varieties and the point of prophylactic drug use was high （29.25%）.The most commonly used antibacterial drug was Mezlocillin sodium/Sulbactam sodi-um （48.00%）. Conclusion Many problems existed in perioperative prophylactic antibiotics use in type I inci-sion surgery in the hosptal.Effective measures should be taken to intervene in the clinical drug use.