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目的了解妇科抗菌药物合理应用情况,提供合理应用抗菌药物的评价指标。方法抽查2014年1月至2014年6月符合围手术期要求的病历197份,参考《抗菌药物临床应用指导原则》对其进行统计分析,评价用药合理性,发现并讨论问题。结果妇科197围手术期患者抗菌药物的总使用率为100%,单用抗菌药物比例占总病例数的30%,联合用药的比例占总病例数的70%,使用抗菌药物用于预防术前及术后感染的时间,超过抗菌药物临床应用指导原则规定的分别占33.50%和29.95%,预防性使用抗菌药物不合理的病例54.82%。结论我院妇科围手术期使用抗菌药物存在不合理现象,应加强抗菌药物应用的管理,规范围手术期抗菌药物的使用原则。
Objective To understand the reasonable application of gynecological antimicrobial agents and to provide a reasonable evaluation index of antimicrobial agents. Methods A total of 197 medical records meeting perioperative requirements from January 2014 to June 2014 were selected and statistically analyzed according to the Guiding Principles of Clinical Application of Antibacterials to evaluate the rationality of drug use and to find and discuss the problems. Results 197 cases of gynecological 197 perioperative patients with total antibacterial usage was 100%, single antibacterial drugs accounted for 30% of the total number of cases, the proportion of combined medication 70% of the total number of cases, the use of antimicrobial agents for the prevention of preoperative And the duration of postoperative infection, accounting for 33.50% and 29.95%, respectively, of the guidelines for clinical use of antimicrobial agents, and 54.82% of the unreasonable cases of prophylactic use of antimicrobial agents. Conclusion There is an irrational use of antimicrobial agents in perioperative period in gynecology department of gynecology hospital. The administration of antimicrobial drugs should be strengthened to regulate the use of perioperative antibacterials.