Ⅰ类切口手术预防用抗菌药物调查与分析

目的：探讨我院Ⅰ类切口手术抗菌药物临床使用情况,评价Ⅰ类切口手术抗菌药物使用的合理性,促进我院抗菌药物合理规范使用。方法：采用回顾性调查方法,调查2012年1-6月Ⅰ类切口手术(甲状腺手术、乳腺手术、疝气修补术)病例预防使用抗菌药物的品种、用药频率、给药时间及疗程等进行调查分析。结果：1200例Ⅰ类切口手术使用抗菌药物有504例,使用率42.00%；其中合理使用424例,合格率为84.13%,不合理用药的有80例,占15.87%,二联用药6例,占1.19%。结论：我院Ⅰ类切口手术抗菌药物的应用存在品种选用不当、预防用药时间过长等不合理现象,有待进一步加强管理。

Investigationg and analysis the type I incision operation of prophylactic antimicrobial drug in our hospital

objective: To discussion on type I incision operation in our hospital in the use of antibacterial drugs in clinical, type I incision operation to assess the rationality of antimicrobial usage, promote the rational use of antimicrobial drugs in our hospital.Methods: By using the method of retrospective survey, 1-6 type I incision operation survey 2012 ( thyroid operation, breast operation, hernia repair ) cases prophylactic use of antimicrobial drugs, drug use frequency, varieties of administration time and course of treatment were investigated.Results: In 1200 patients with type I incision operation use of antimicrobial agents in 504 patients, the use rate of 42%; the rational use of 424 cases, the qualified rate is 84.13%, 80 cases, the irrational drug use accounted for 15.87%, two drugs combination in 6 cases, accounting for 1.19%.Conclusion: Type I incision operation application of Antibacterials in our hospital, there were improper selection of preventive medication for a long time, the unreasonable phenomenon, further strengthen the management.