232例围手术期患者抗菌药物应用情况分析

目的调查我院围手术期患者抗菌药物应用情况，评价用药合理性。方法回顾性分析我院232例围手术期患者抗菌药物应用情况。结果232例围手术期患者100％应用抗菌药物，品种选用以头孢菌素类为主占66％；Ⅰ类切口手术应用抗菌药物达100％，联合应用2种抗菌药物者78％；不今理用药占调查总数的45％，其中用法、剂量不合理者35％，用药时机不合理者13％，术后用药者59％，用药疗程过长者22％，药物选择不当者10％，作微生物培养及药敏试验者4％。结论我院围手术期抗菌药物的使用存在不合理之处，应加强规范化使用管理。

Analization of antibacterials used in 232 perioperative patients

Objective To investigate antibacterials used in perioperative patients and evaluate the rationality of antibacterials. Methods Retrospectively analyze the antibac-terials used in 232 perioperative patients. Results Antibacterials were used in all patients and cephalosporins were chosed in most patients, antibacterials were used in 66% patients with I kind incision and combination of two kind of antibacterials were used in 78% patients; antibacterials were used irrationally in 45% patients, usage or dose was irratio-nal in 35% patients, medication juncture was unreasonable in 13% patients, antibacterials used after operation was 59%, time of therapy was too long in 22%, unreasonable drug were chosed in 10% patients, and microorganism culture and susceptibility test were done in only 4% patients. Conclusions antibacterials were used irrationally in periopertive patients in our hospital, and may strengthen the normalization of usage of antibacterials.