841例围术期住院患者预防性应用抗菌药物合理性分析

目的:评价我院围术期抗菌药物预防性应用情况。方法:对我院2007年1～3月841例住院患者围术期抗菌药物预防性应用情况进行统计、分析。结果:841例患者全部预防性应用抗菌药物,74.04%的Ⅰ类切口手术术后用药时间达3～7d。头孢菌素类和喹诺酮类抗菌药物是围术期预防用药的主要选择。不合理应用抗菌药物达714例/次。结论:我院围术期预防性应用抗菌药物存在不合理情况,应加强贯彻实施《抗菌药物临床应用指导原则》。

Analysis of Rationality of Perioperative Use of Antibiotics in 841 Perioperative Inpatients

OBJECTIVE： To evaluate the prophylactic use of antibiotics in perioperative period in our hospital. METHODS： The prophylactic use of antibiotics in 841 patients in our hospital in the first 3 months was analyzed statistically. RESULTS： 841 patients have used antibiotics, and 74.04% of those patients with type Ⅰ incision operation used antibiotics for 3 to 7 days. Cephalosporins and Fluoroquinolones were predominantly used for prophylactic purpose, Irrational use of antibiotics was seen in 714 cases. CONCLUSION： The prophylactic use of antibiotics in our hospital is far from rational, thus it is necessary to put ＂Guideline on Clinical Use of Antimicrobials＂ into practice.