我院377例围手术期抗菌药物应用分析

目的提高围手术期抗菌药物临床合理应用水平。方法应用查阅法和参照法对我院377例手术病例围手术期抗菌药物应用合理性进行评价。结果 181例I类切口预防性抗菌素使用率97.7%;377例术前0.5～2 h内使用预防性抗菌素率92.5%;术后一、二代头孢类抗菌素使用率为77.4%;术后抗菌药物二联使用率为13.5%;术后抗菌药物疗程72 h内结束为89.9%。结论我院围手术期抗菌药物应用存在不合理现象,有待改进。

Analysis of 377 cases of perioperative antimicrobial application in our hospital

Objective To improve the rational application of antibiotics in the perioperative period. Methods Aaccess method and the reference method were used to evaluate the ration of antibiotics application in perioperative from 377 surgical cases in the hospital. Results The prophylactic antibiotics rate was 97.7% in the 181 cases of the I type incision. The rate of preoperative prophylactic antibiotic use within 0.5~2 h rate was 92.5% in the 377 cases. The utility rate of first and second-generation cephalosporin antibiotic was 77.4% after surgery. The rate of joint utility of two antibiotics was 13.5% after surgical operation. 89.9% of antibiotic treatment was finished within 72 h after surgical operation. Conclusion There was the unreasonable situation in the perioperative application of the antibiotics, which need to be improved.