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目的了解泌尿外科围手术期抗菌药物使用情况,为合理选用抗菌药物提供依据。方法分析2009-01-2009-12洛阳市第一人民医院泌尿外科住院手术患者424例,统计患者资料,分析围手术期抗菌药物应用情况,参照《抗菌药物临床应用指导原则》及相关管理规范,调查围术期预防性应用抗菌药物存在的问题。结果Ⅰ、Ⅱ类切口手术预防用药率100.0%,围手术期存在预防用抗菌药物品种选择不当、给药时机不当和用药疗程过长。结论应加强泌尿外科围手术期抗菌药物管理,以提高泌尿外科围术期抗菌药物应用合理性。
Objective To understand the use of antibiotics in perioperative period of urology and provide the basis for rational use of antibacterials. Methods A total of 424 hospitalized patients undergoing urology at the First People ’s Hospital of Luoyang from January 2009 to December 2009 were recruited. The data of patients were analyzed and the application of perioperative antibiotics was analyzed. According to the Guiding Principles of Clinical Application of Antibacterials and related management practices, Investigate perioperative prophylactic use of antimicrobials. Results The preventive rate of surgical incision in type Ⅰ and Ⅱ incision was 100.0%. The selection of prophylactic antibacterials in perioperative period was improper. The timing of administration was improper and the duration of medication was too long. Conclusion The perioperative management of antimicrobial agents in urology should be strengthened to improve the rationality of perioperative antibacterials in urology.