Ⅰ类切口手术预防性应用抗菌药物情况分析

Analysis the prophylactic use of antibiotics in patients with Type Ⅰ incision operations

目的了解滨海新区汉沽中医医院Ⅰ类切口手术围手术期预防性应用抗菌药物情况,为围手术期抗菌药物合理应用和管理提供参考。方法对滨海新区汉沽中医医院2015年1月-2016年10月Ⅰ类切口手术出院病例专项点评情况进行汇总分析。结果Ⅰ类切口手术围手术期抗菌药物使用率为33.53%,其中术前0.5~1h给药占9 8.2 5%;抗菌药物品种选择主要为头孢西丁占68.42%,其次为头孢硫脒占19.30%,头孢替唑占8.77%,氨曲南占3.51%;使用疗程≤24h的占56.14%,24~48h的占12.28%,>48h的占31.58%。结论滨海新区汉沽中医医院Ⅰ类切口手术围手术期预防性应用抗菌药物存在用药指征把握不严、抗菌药物品种选择不合理、疗程过长现象,还需进一步规范。

Objective To investigate the prophylactic use of antibiotics in perioperative period of Type Ⅰ incision surgery in Binhai New Area Hangu Traditional Chinese Medicine Hospital,and to provide reference for rational use and management of antibacterials in perioperative period. Methods Summarized the special comment of the cases of Type Ⅰ incision in Binhai New Area Hangu Traditional Chinese Medicine Hospital from January 2015 to October 2016. Results The perioperative use rate of antibiotics for Type Ⅰ incision was 33.53% with the preoperative 0.5～1 hour delivery rate of 98.25%;the main antimicrobial was cefoxitin with 68.42%,followed by Cephathiamidin with 19.30%,Ceftezole with 8.77%,and Aztreonam with 3.51%;The percentage of the time of treatment was respectively 56.14% which time was less than or equal to 24 h,12.28% which time was 24 h to 48 h,31.58% which time was more than 48 h. Conclusion There are some points needed to be standardized in the application of prophylactic antibiotics in the perioperative period of Type Ⅰ incision surgery in Binhai New Area Hangu Traditional Chinese Medicine Hospital. For example,the indications of drug use are not strict,the selection of antibiotics is unreasonable,and the course of treatment is too long.