武警医学2013，Vol.24Issue(2)：159-162,4.
某院Ⅰ类手术切口围术期抗菌药物应用分析
Analysis of use of antibiotics in 538 cases of type I incision operation in this hospital
梅昕 1徐莺 2刘婧 1白玫 1蒋云根1
作者信息
- 1. 330001,南昌,武警江西总队医院药剂科
- 2. 330001,南昌,武警江西总队医院感染控制科
- 折叠
摘要
Abstract
Objective To know the characteristics and reasonable use of antibiotics in type I incision perioperativperiod in this hospital, and provide a reference for rational use to prevent infection in clinicl. Methods 538 cases of type I incision operation were sampled randomly from November 2011 to April 2012. The type of surgery, the utilization of antibiotics, the use of varieties, combination therapy, medication timing and duration were investigated and analyzed. Results The utilization rate of drugs in type I incision operation was 84. 01%. The cefathiamidine and cefotaxime held the higher proportion of drugs, accounting for 20. 58% and 17. 26%. The combination rate of antibiotics was 6. 42%. The proportion of the first administration time in preoperative 2- 24 h, 0. 5- 2 h and postoperatively were 8. 62% , 46. 24% and 45. 13% , respectively 18 cases had the medication with in 24 h after surgery, 81 patients with in 25 - 48 h, and other 353 cases beyond 48 h. The average number of days for antibiotics use was 6. 83 days. Conclusions The use of antibiotics for preventing infection has several problems in this hospital; indications are not strict, choice of varieties is unreasonable and the timing of administration and duration of treatment are incorrect, which need strengthen the administrative supervision and the level of participation of clinical pharmacists.关键词
Ⅰ类手术切口/围术期/抗菌药物/合理用药/临床药师Key words
type Ⅰ incision operation/ perioperative period/ antibiotics/ rational drug use/ clinical pharmacist 分类
医药卫生引用本文复制引用
梅昕,徐莺,刘婧,白玫,蒋云根..某院Ⅰ类手术切口围术期抗菌药物应用分析[J].武警医学,2013,24(2):159-162,4.
