中国药房2016，Vol.27Issue(8)：1030-1032,3.DOI:10.6039/j.issn.1001-0408.2016.08.07
某“三甲”医院Ⅰ类切口手术围术期预防使用抗菌药物调查分析
Analysis of Perioperative Prophylactic Application of Antibacterials in Type Ⅰ Incision Operation in a Class A Grade Three Hospital
李慧兰 1朱苗苗 2张佩 1张赞玲3
作者信息
- 1. 中南大学湘雅医院药学部，长沙 410008
- 2. 中南大学药学院，长沙410013
- 3. 桂林医学院药学院，广西桂林 541001
- 折叠
摘要
Abstract
OBJECTIVE:To provide reference for perioperative rational prophylactic application of antibacterials in type Ⅰ in-cision operation. METHODS:4 201 patients underwent type Ⅰ incision operation were collected from a class A grade three hospi-tal during Mar. 2013-Feb. 2015. The perioperative prophylactic application of antibacterials in type Ⅰ incision operation were ana-lyzed statistically. RESULTS:Of 4 201 patients underwent type Ⅰ incision operation,there were 2 399 cases of prophylactic appli-cation of antibiotics(accounting for 57.10%). Cephalosporins andβ-lactam/β-lactamase inhibitor were the main classes of antibacte-rials for preventive use,accounting for 45.60%and 19.76%,respectively. The frequency of using cefazolin,ceftriaxone and amoxi-cillin-clavulanic acid ranked the top 3 places, among which there was 823 cases of unsuitable prophylactic medication time (34.31%),and 855 cases of prophylactic medication time >48 h(accounting for 35.64%). CONCLUSIONS:There still is unrea-sonable perioperative prophylactic application of antibacterials in type Ⅰ incision operation in this hospital. It is necessary to strengthen the supervision of antibacterials and conduct regular rational antibacterials use seminars in order to promote rational use of antibacterials.关键词
Ⅰ类切口手术/围术期/抗菌药物/预防用药/合理用药Key words
TypeⅠincision optration/Perioperative/Antibacterials/Prophylactic medication/Rational drug use分类
医药卫生引用本文复制引用
李慧兰,朱苗苗,张佩,张赞玲..某“三甲”医院Ⅰ类切口手术围术期预防使用抗菌药物调查分析[J].中国药房,2016,27(8):1030-1032,3.
