某综合性三甲医院1970例Ⅰ类切口预防使用抗菌药物分析

Analysis of Prophylactic Use of Antibiotics in 1970 Cases of Type Ⅰ Incision in a General Hospital with Grade 3A

目的分析综合性医院Ⅰ类切口预防性使用抗菌药物的合理性。方法调查某综合性三甲医院2016年10月至12月1 970例Ⅰ类切口手术在围术期抗菌药物的使用,统计其使用率和合理率。结果 1 970例患者中,合理用药1 873例,合理率为95.08%;预防性使用抗菌药物304例,预防使用率为15.43%,其中不合理使用97例,无指征预防应用抗菌药物占14.53%,抗菌药物品种选择不当的占24.79%,给药时机不当的占2.56%,预防用药疗程超过24 h占58.12%。结论Ⅰ类切口手术预防使用抗菌药物的使用率达标,不合理使用的现象仍然存在,尤其是预防性用药疗程过长问题明显。Ⅰ类切口手术预防应用抗菌药物有待继续规范和提高。

Objective To analyze the rationality of prophylactic use of antibiotics in typeⅠincision in a general hospital. Methods The use of antibiotics in 1970 cases of typeⅠincision surgery in perioperative period from October to December in 2016 in a general hospital with grade 3A was investigated, and their utilization rate and reasonable rate were evaluated. Results In the 1970 cases of typeⅠincision surgery, 1873 cases of antimicrobial agents were reasonable, the reasonable rate was 95. 08%, there were 304 cases of prophylactic use of antibiotics, the prophylactic use rate was 15. 43%, In the 97 cases of irrational use of antibiotics, 14. 53% of them had no indications , 24. 79% of them were given improper selection of antibacterial drugs , 2. 56% of them were given improper administration, and 58. 12% of the courses of prophylactic medication were more than 24 h. Conclusion The use rate of prophylactic use of antibiotics in typeⅠincision surgery is up to standard, but the irrational use still exists, especially the long course of preventive medication is obvious. Prophylactic use of antibiotics in typeⅠincision surgery should be standardized and improved.