175例整形美容术围手术期患者抗菌药物预防使用的合理性分析

Analysis on Rationality of Perioperative Prophylactic Medication of Antimicrobial agents in 175 Patients Undergoing Plastic Surgery

目的:分析整形美容手术患者围手术期抗菌药物预防使用的合理性,为此类患者抗菌药物的合理使用提供参考。方法:抽取2019年1月—12月间整形美容手术围手术期患者175例临床资料,分析和评价其围手术期预防用抗菌药物(用药指征、品种选择、用药时机、用药疗程和用法用量)合理性、使用频次和使用率。结果:整形美容手术围手术期患者抗菌药物预防用药率为65.71%,品种选择合理率为73.91%,用药时机合理率仅为15.65%,疗程合理率为22.61%,用法用量合理率为94.78%;抗菌药物使用频次最多的是头孢丙烯片剂和头孢呋辛注射剂。结论:该院整形美容手术围手术期抗菌药物存在使用率高、疗程长等不合理现象,应加强抗菌药物使用干预管理,提高其使用的合理性。

Objective:To analyze the rationality of prophylactic medication of antibiotics during perioperative prevention of plastic surgery in our hospital,and to provides reference for the rational medication of antibacterial drugs in such patients.Methods:The clinical data of 175 patients in the perioperative period of plastic and aesthetic surgery from January to December 2019 were extracted to analyze and evaluate the rationality,frequency and utilization rate of antibacterial drugs for perioperative prevention(indication,variety selection,medication timing,medication course and dosage).Results:In the perioperative period of plastic surgery,the utilization rate of antibacterial drugs was 65.71%,the variety selection rate was 73.91%,and the timing rate was only 15.65%.The reasonableness rate of the course of treatment was 22.61%,and the usage and dosage rate was 94.78%.The most antibacterials used frequently are cefoproxen tablets and cefuroxime injections.Conclusion:In the perioperative period of plastic and cosmetic surgery in this hospital,there were unreasonable phenomena such as high utilization rate and long course of treatment of antibacterial drugs,so the intervention management of antibacterial drugs had to be strengthened to improve the rationality of their use.