妇科围手术期抗菌药物的应用分析

目的了解我院妇科围手术期使用抗菌药物的现状，为规范抗菌药物合理应用提供参考。方法随机抽取2011年6～12月我院妇科手术病例308例，填写“外科手术患者抗菌药物使用情况调查表”，从抗菌药物选择、用药时间、联用情况、预防应用选择等方面进行分析评价。结果妇科围手术期抗菌药物应用率为100％，涉及10大类25个品种，主要为氨基糖苷类、头孢菌素类、硝咪唑类、青霉素类等；其中单一用药占11．04％、二联用药占59．42％、三联用药占26．94％、四联及四联以上用药占2．60％；平均用药天数为8．08天。结论我院妇科抗菌药物选择存在不合理现象，且使用疗程偏长，应当加强抗菌药物使用管理。

Analysis of the Perioperative Utilization of Antibiotics in Gynecology

Objective To investigate the perioperative utilization of antibiotics in gynecology of our hospital and provide references for the rational use of antimicrobial agents. Methods We randomly selected 308 medical records in our hospital fi＇om Jun. 2011 to Dec. 2011 and filled out the ＂surgery with the use of antibacterial agents in questionnaire＂, which were analyzed and appraised on antibacterial drug selection, use time, combined situation, prevent application, etc. Results Of all analytical cases, 308（100%） received antibacterial drugs, which involved in 10 classes and 25 varieties, such as aminoglycoside, cephalosporin, nitrate imidazoles and penicillin. Mono-drug administration, two-drug administration, three-drug administration, four or more-drug administration respectively accounted for 11.04%, 59.42%, 26.94%, 2.60%. The average use time was 8.08 d. Conclusion The use of antimicrobial agents in gynecology was unreasonable in our hospital, and the duration of treatment was long. We should strengthen the management of antibiotics usage.