眼科医院围手术期预防用药情况分析

目的 评价眼科医院围手术期预防用药的现状，以控制围手术期全身使用抗菌药物，促进临床安全合理使用抗菌药物。方法 设计调查表，随机抽取武汉爱尔眼科医院白内障科、青光眼科、眼底病科、眼眶科、斜弱视科、泪道科、角膜科7个科室2011年5—9月住院病历各20份，总计140份。依据国家卫生部颁发的《抗菌药物临床使用原则》，分析医院围手术期抗菌药物的使用情况。结果 抽查的140份住院病历，有118份为手术病历，共做手术131例次，其中I类切口清洁手术96例，I类切口手术抗菌药物全身预防使用率38.6%。结论 武汉爱尔眼科医院眼科围手术期抗菌药物预防性使用率基本符合使用标准。

Analysis on perioperative prophylaxis status in eye hospital

Objective To evaluate the prophylaxis status in eye hospital during the perioperative period, to control the systemic use of antimicrobial drugs, and to promote the rational and safe use. Methods Questionnaire was designed, 140 copies were randomly selected from May to September 2011 in-patient medical records, each of which was 20 copies including cataract, glaucoma, ocular fundus diseases, orbital diseases, oblique amblyopia, lacrimal passage diseases, and cornea diseases. Prophylaxis status of Wuhan Aier eye hospital during the perioperative period was analyzed in accordance with the Principle of Antimicrobial Drugs for Clinical Use by the Ministry of Health. Results Among all the 140 medical records, 118 were surgical records with 131 operation cases containing 96 cases of type I incision. The rate of the prophylactic use against bacterials in the 96 cases was 38.6%. Conclusion In Wuhan Aier Eye Hospital, the prophylactic use rate against bacterials during the perioperative period meets the needs of the utilization standard.