279例眼科围手术期预防性应用抗菌药物调查

279 Prophylactic Use of Antibiotics in Perioperative Period for Patients in Department of Ophthalmology

目的:了解医院眼科围手术期预防性使用抗生素情况。方法:以病例回顾的方法,调查遵义医学院附属医院2015年12月—2016年2月间279例眼科手术患者围手术期预防性应用抗生素情况。结果:该医院眼科围术期预防性使用抗生素比例达到百分之百,而用于治疗应用的抗生素33例,用于预防性应用全身用药有170例,使用率为69.11%,预防性应用局部用药有76例,使用率为30.89%。术前0.5h内给药的4例占1.626%,术前0.5h^2h给药的11例占4.471%,术前≥2h给药的156例占63.41%;术后用药<24h的52例,占21.14%,术后用药≥72h者68例,占27.64%。结论:加强抗生素在手术前的预防性应用,且应尽量避免全身以及手术后使用抗生素。

Objective: To investigate and analyze the use of antibiotics in hospital’s ophthalmology surgery. Methods: By a retrospective way, 279 cases of prophylactic use of antibiotics in perioperative period for patients in department of ophthalmology, hospital of Zunyi Medical College from December 2015 to February 2016 were studied. Results: Ophthalmologic perioperative use of prophylactic antibiotics in the hospital was 100%, with 33 cases of antibiotics for treatment, 170 cases for preventive administration, utilization rate was 69.11%; prevention local administration was 76cases, the using rate was 30.89%. Administration 0.5 h before operation was 1.63%, 0.5 h to 2 h preoperative was 4.47%, more than 2 h accounted for63.41%; less than 24 h postoperative medication accounted for 21.14%; more than or equal to 72 h postoperative medication for 68 cases, accounting for 27.64%. Conclusion: We should strengthen the preventive application of antibiotics before surgery instead after surgery, and system body use of antibiotics should be avoided.