我院591例骨科患者围术期抗菌药物应用分析

目的:了解我院骨科围术期抗菌药物的应用情况。方法:对我院2006年6月～2008年6月591例骨科患者围术期抗菌药物应用情况进行回顾性分析。结果:591例患者围术期全部应用抗菌药物,其中术前24h用药85例(14%),联合用药286例(48%)。在联合用药中,二联用药者263例(92%),三联用药者23例(8%),平均用药(9±2.3)d。结论:我院骨科围术期抗菌药物应用存在滥用、应用不当和药物联用不当等现象,亟待干预。

Analysis on Application of Antibiotics in 591 Cases Underwent Orthopedic Surgery in Perioperative Period

OBJECTIVE： To probe into the application of antibiotics in orthopedic perioperative period. METHODS： The application of 591 patients with orthopedic disease in perioperative period from Jun. 2006 to Jun. 2008 were reviewed and analyzed. RESULTS： 591 patients were treated with antibiotics in perioperative period. 85 cases of preoperational medication accounted for 14% and 286 cases of drug combination 48%. Among 286 cases of drug combination, 263 cases of two-drug consisted of 92%, 23 cases of three-drug 8%; mean administration time was（9 ± 2.3）d. CONCLUSION： Abuse, inappropriate use and inappropriate drug combination of antibiotics were existed, which need to be corrected.