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目的:分析常熟市中医院2014年度Ⅰ类切口手术围术期预防性使用抗菌药物合理性,为合理用药提供参考。方法:抽查医院2014年1—12月份Ⅰ类切口手术患者331例,分析其抗菌药物的使用率、用药时机和用药疗程、用药品种、用法与用量、联合用药情况和用药的合理性及术后感染情况。结果:331例Ⅰ类切口手术患者抗菌药物使用率为46.53%(154/331);术前0.5~2.0 h给药的为57.14%,疗程不超过48 h的占35.06%;品种选择以头孢菌素为主,其次为头霉素类。结论:医院Ⅰ类切口手术患者预防用药存在使用率偏高、用药时机不当、预防用药时间过长等问题,需加强管理。
Objective: To analyze the rationality of prophylactic use of antimicrobial agents in class Ⅰ incision in Changshu Hospital of Traditional Chinese Medicine in 2014, and to provide reference for rational drug use. Methods: One hundred and seventy-one patients with type Ⅰ incision were randomly selected from January to December 2014 in our hospital to analyze the rationality of antibacterials usage, timing and course of medication, variety of drugs, usage and dosage, combination therapy and medication, and postoperative Infection. Results: The antibacterials utilization rate was 46.53% (154/331) in 331 cases of type Ⅰ incision surgery, 57.14% in the period of 0.5-2.0 h before operation and 35.06% in the period of no more than 48 h. The selection of cephalosporins Prime, followed by the class of cephamycins. Conclusion: There are some problems in the prevention and treatment of type Ⅰ incision in hospitals, such as the high usage rate, inappropriate timing of medication and long time of preventive medication, which need to be strengthened.