我院骨外科I类切口手术抗菌药物用药分析

Application Analysis of Prophylactic Antimicrobial Agents during Orthopedics Type I Incision during Perioperative Period

目的:通过分析我院骨外科I类切口手术预防性使用抗菌药物情况,为我院骨外科病区围手术期预防性使用抗菌药物的合理性提供参考。方法:随机抽取2019年8月至2021年8月我院骨外科I类切口手术病例338例,对病例中使用抗菌药物的品种、给药时机及用药时长等进行回顾性调查分析。结果:我院骨外科I类切口手术围术期抗菌药物2019~2020年、2020~2021年围手术期使用抗菌药物率分别为95.2%、98.8%。2019~2021年间抗菌药物的使用率前三分别是头孢唑林钠、头孢呋辛钠、头孢硫脒。结论:我院骨外科围手术期I类切口使用抗菌药物时总体规范,但仍存在不合理现象,应予以关注并干预,以促进抗菌药物的合理应用。

Objective: To provide a reference for using prophylactic antibiotics during the perioperative period by analyzing the situation of using prophylactic antimicrobial agents during type I incision surgery in the Department of Orthopedics of our hospital. Methods: 338 cases of type I incision surgery in the Department of Orthopedics in our hospital from August 2019 to August 2021 were randomly selected;Retrospectively investigating and analyzing those cases with what antibiotics were used, when began to be used and the duration of used antimicrobial agents. Results: The perioperative rate of antibiotics used in type I incision surgery in the Department of Orthopedics in our hospital from 2019 to 2020 and from 2020 to 2021 were95.2% and 98.8%, respectively. The top three antibiotics used in 2019~2021 were cefazolin sodium, cefuroxime sodium, and cefathiamidine. Conclusion: In those cases, antibiotics were generally reasonably used in type I incision during the perioperative period in the Department of Orthopedics in our hospital, but there were still unreasonable phenomena, which should be noticed and intervened to promote reasonable application of antibiotics.