腹外疝手术围手术期抗菌药物应用分析

目的 了解腹外疝手术围手术期抗菌药物使用特点,探讨其存在的主要问题,为规范基层综合医院抗菌药物的应用提供依据,并制定抗菌药物使用的干预措施.方法 对2010年1-6月符合Ⅰ类切口的腹外疝手术的归档病历,进行回顾性调查分析.结果 腹外疝手术围手术期抗菌药物使用率为100.00％,抗菌药物联合应用率为25.35％,用药疗程平均(6.52±1.43)d；医院腹外疝围手术期抗菌药物应用方面尚存在一些用药指征把握不严、给药时机不佳、用药品种不当、给药疗程过长及盲目联合用药等问题.结论 必须加强抗菌药物使用管理,规范基层综合医院腹外疝手术围手术期抗菌药物的应用,才能遏制细菌耐药性快速增长的不良趋势.

Application of antimicrobial agents during perioperative period of abdominal external hernia

OBJECTIVE To evaluate the application of antimicrobial agents during perioperative period of abdominal external hernia and investigate the existing problems so as to provide evidence for standardizing the antibiotic use in grass-root hospital and institute intervention measures.METHODS A retrospective analysis was conducted for the filed medical cases complying with the abdominal external hernia for classⅠincision from Jan.to Jun.2010.RESULTS Application rate of antibiotics was 100.00% during perioperative period of abdominal external hernia.The rate of combined use of antimicrobial agents was 25.35%;the mean medication course was(6.52 d ±1.43)d;results from present study indicated several existing problems,including not following drug indications strictly,timing errors in medication administration,improper medication,excessive medication duration,blind combination therapy and so on.CONCLUSION The use of antimicrobial agents should be strengthened,the application of antibiotics during perioperative period of abdominal external hernia should be standardized in the grass-root general hospital so as to curb the rapid growth of bacterial resistance