Ⅰ类切口手术5849例的围手术期预防用抗菌药分析

Analysis of Perioperative Prophylactic Antibiotics in 5 849 Cases of Type Ⅰ Incision Surgery

目的:点评分析Ⅰ类切口手术病例预防用抗菌药物,为规范围手术期抗菌药物的合理使用提供参考。方法:随机抽取南方医科大学顺德医院2020年5 849例Ⅰ类切口手术病例围手术期抗菌药物预防使用适宜性进行点评分析。结果:总体不合理率为1.90%,不合理率较高的科室有胸外科、创伤关节外科和泌尿外科,不合理率分别为11.29%、9.54%和7.30%;不合理用药类型分布:抗菌药物选择不适宜占66.37%(75例)、疗程过长占16.81%(19例)、给药时机不适宜占11.50%(13例)、术中未追加抗菌药物占4.43%(5例)、给药途径不适宜0.89%(1例)。结论:Ⅰ类切口手术患者围手术期抗菌药物合理使用需进一步规范,尤其在抗菌药物品种选择、预防用药疗程及给药时机。

Objective:Review and analysis of antibiotics for prevention in type Ⅰ incision cases,so as to provide reference for rational use of antibiotics during operation.Methods:5 849 cases of type Ⅰ incision operation in Shunde Hospital in 2020 were randomly extracted to comment and analyze the rationality use of antibiotics prophylaxis during the perioperative period.Results:The overall unreasonable antibiotics use rate was 1.90%,departments with high irrationality rates include thoracic surgery,trauma and joint surgery,and urology,the irrationality rates are 11.29%,9.54%,and 7.30%,respectively;distribution of unsuitable drug use problems:inappropriate selection of antibacterial drugs for 66.37% (75 cases),excessive treatment course for 16.81% (19 cases),inappropriate timing of administration 11.50% (13 cases),and no additional antibiotics during surgery for 4.43% (5 cases),the route of administration is not suitable 0.89% (1 case).Conclusion:The rational use of antibacterial drugs during the perioperative period in patients with type Ⅰ incision surgery in hospital needs to be further regulated,especially in the selection of antibacterial drugs,preventive medication and the timing of administration.