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目的分析我院Ⅰ类切口围手术期抗菌药物不合理使用的病历,以促进合理用药,保证用药安全有效。方法随机抽取2009年7月~2010年6月外科Ⅰ类切口手术病历120份,对其围手术期抗菌药物使用进行综合分析。结果 120份病历中,包含同一病历存在多种不合理情况,总体不合理发生396例次,其中抗菌药物术后使用时间过长(占95%),抗菌药物选择不当(占81%),预防用药时机把握不好(占73%),无指征使用抗菌药物(占60%)。结论我院Ⅰ类切口手术抗菌药物的使用还存在诸多不合理现象,应该加强我院抗菌药物的合理使用,特别是围手术期预防用抗菌药物的合理使用。
Objective To analyze the irrational use of antibacterials in class I perioperative incisions in our hospital so as to promote the rational use of drugs and ensure the safety and efficacy of drugs. Methods A total of 120 cases of surgical incision surgeries from July 2009 to June 2010 were randomly selected and their perioperative antibacterials were analyzed comprehensively. Results A total of 120 unreasonable cases were recorded in the same medical records, of which 396 cases were unreasonable. Antibiotics were used for a long time (95%), improper antibiotics (81%), prevention Poor timing of medication (73%), no use of antimicrobial drugs (60%). Conclusion There are still many irrational use of antibacterials in Class I incision in our hospital. We should strengthen the rational use of antibacterials in our hospital, especially rational use of antibacterials for perioperative prophylaxis.