整形外科抗生素应用原则的初步探讨

目的调查研究我院整形外科患者抗生素的应用状况。方法随机抽取整形外科医院1997～1998年840例1014人次手术病案,统计分析应用抗生素的状况。结果 1006人次应用抗生素(99.21%),其中预防性应用抗生素1003人次(占应用抗生素人次的99.70%),治疗性应用抗生素3例(0.30%),联合用药71例。抗生素种类以β-内酰胺类为主(86.63%)。静脉注射601例(55.39%)。结论存在滥用及不合理应用抗生素现象,预防性应用抗生素未遵循原则,用药时间及途径不合理,联合用药无指征等。初步提出整形外科抗生素应用原则。

The principles of use of antibiotic drugs in plastic surgery:a preliminary exploration

Objective To investigate the use of antibiotic drugs in the plastic surgery patients. Methods With a random-sampling method,the patterns of use of antibiotic drugs were reviewed in 840 cases(1014 surgical operations)from the Plastic Surgery Hospital,the Chinese Academy of Medical Sci- ences.Results About 99.21per cent of patients received antibiotic drugs,and prophylaxis accounted for about 99.70 per cent of all antibiotic drugs.The drugs used most often for prophylaxis were penicillin,fol- lowed hy cephalosporins.Conclusion By analysing the data,it is clearly shown that there exist abuse and inappropriate use of antibiotic drugs.Surgeons must keep in mind that antibiotic prophylaxis should be used with appropriate indications,optimum time and duration.