蚌埠医学院第一附属医院Ⅰ类切口手术围术期预防性应用抗菌药物调查分析

Analysis on Prophylactic Application of Antibiotics in Type Ⅰ Incision in Perioperative Period in the First Affiliated Hospital of Bengbu Medical University

目的:了解蚌埠医学院第一附属医院(以下简称"我院")Ⅰ类切口手术围术期预防性应用抗菌药物的现状,探讨改进措施。方法:从2016年3月我院所有归档病案中随机抽取60份Ⅰ类切口手术病历,按Ⅰ类切口手术围术期预防性应用抗菌药物情况调查表中所列内容对病历进行回顾性分析。结果:60例Ⅰ类切口手术中,围术期预防性应用抗菌药物的有13例(抗菌药物预防性使用率为21.67%),均为骨科手术,使用的抗菌药物均为头孢硫脒,预防性给药时间均为术前30 min。不合理用药主要为初级医师开具限制级使用抗菌药物,此外,术后无指征继续使用抗菌药物1例。结论:我院Ⅰ类切口手术围术期预防性应用抗菌药物专项点评实施以来,Ⅰ类切口手术围术期抗菌药物的预防性应用得到了极大改善,但仍有进一步提升的空间。

OBJECTIVE： To investigate the prophylactic application of antibiotics in type Ⅰ incision in perioperative period in the First Affiliated Hospital of Bengbu Medical University（ hereinafter referred to as ＂our hospital＂）,so as to probe into improvement measure. METHODS： 60 cases of type Ⅰ incision records were randomly selected from all archived cases in our hospital from Mar. 2016. Retrospective analysis was conducted on the perioperative preventive application of antibiotics in type Ⅰ incisions. RESULTS： Of the 60 cases of type Ⅰ incision,there were 13 patients with perioperative prophylactic antibiotics（ prophylactic application rate of antibiotics was21. 67%）,all of which were orthopedic surgery,the antibiotics used were cefathiamidine,and the prophylactic administration time was 30 minutes before surgery. The irrational application of drugs was mainly for antibiotics used by the primary doctors at the restricted level. In addition,there was 1 case with continued application of antibiotics without indications after surgery. CONCLUSIONS： The application of antibiotics in type Ⅰ incision in perioperative period has been greatly improved special review on antibiotics,but there are still space for further improvement.