300例骨科患者围术期抗菌药物应用分析

目的:评价我院骨科患者围术期抗菌药物应用情况。方法:回顾性调查我院2008年骨科患者围术期抗菌药物的应用情况。结果:骨科300例患者围术期抗菌药物应用率达100%,应用最多的是克林霉素磷酸酯和头孢呋辛钠;术后超时应用抗菌药物者228例(76.00%),其中Ⅰ类切口手术术后用药时间>24h者161例(70.61%),Ⅱ类切口手术术后用药时间>2d者56例(24.56%),Ⅲ类切口手术术后用药时间>7d者11例(4.82%)。结论:骨科围术期抗菌药物应用存在给药方法不当、用药时间长等问题,需进一步规范。

Preoperative Utilization of Antibacterials in 300 Orthopaedic Patients

OBJECTIVE： To evaluate the preoperative utilization of antibacterial in orthopaedic patients in our hospital. METHODS： The preoperative use of antibacterial in 300 orthopaedic patients in our hospital in 2008 was reviewed. RESULTS： Of the 300 patients in our study, 100% of them were recieved preoperative antibacterial. Two of the most widely used antibacterials were clindamycin and cefuroxime sodium. The use of antibacterial in 228 patients were overtime after operation （76.00%）, of which the use of antibacterial in 161 patients in type Ⅰ incision exceed 24 hour（70.61% ）, 56 patients in type Ⅱ incision exceed 2 days （24.56%） and 11 patients in type Ⅲ incision exceed 7 days （4.82 % ）. CONCLUSION： The usage of preoperative antibacterial was inappropriate and the duration of administration is too long, which should be standardized.