428例清洁手术围手术期预防用药分析

目的 探讨Ⅰ类切口手术患者围手术期预防应用抗菌药物的合理性.方法 回顾性调查医院2010年1月至9月,围手术期预防感染病历428份,对清洁手术围手术期抗菌药物应用进行合理性分析.结果 428份病历中,抗菌药物使用率过高,达92.52％；给药时机不规范;术后用药时间过长；药物选择起点过高；不符合用药经济学原则.结论 清洁手术围手术期预防感染抗茵药物使用,仍存在较多问题,应加强规范管理.

Clean Surgical Perioperative Prophylaxis Analysis

Objective To investigate the rationality of class I incision surgery to prevent perioperative application of antibiotics. Methods A retrospective survey in our hospital from January to September 2010 perioperative prevention of infection in 428 medical records,for clean surgical perioperative antimicrobial agents for rational analysis. Results Four hundred and twenty eight copies of medical records results in excessive usage of antibiotics,up to 92.52%; delivery time is not standardized; postoperative medication for too long; drug of choice for the starting point is too high; medication does not meet the principles of economics. Conclusion Clean surgical hospital perioperative use of antibiotics to prevent infection ,there are still more problems, should strengthen its regulation and management.