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目的:了解我院Ⅰ类切口手术预防性应用抗菌药物的情况。方法:选取我院2010年1月至6月Ⅰ类切口手术的出院病历742份,对预防性应用抗菌药物情况进行调查。结果:742份Ⅰ类切口手术均使用了抗菌药物,无指征用药195份,联合用药209份;在首次给药方面,术前0.5~2h应用169份(占22.8%),术前>2h应用266份(占35.8%),术前不用而术后应用307份(占41.4%)。结论:我院Ⅰ类切口手术存在着使用抗菌药物品种档次高、时间长、联用率高、药物使用不当等几方面的情况,应加强管理。
OBJECTIVE: To understand the preventive use of antibacterials in class Ⅰ incision in our hospital. Methods: A total of 742 discharged medical records of type Ⅰ incision in our hospital from January to June 2010 were selected to investigate the prophylactic use of antibacterials. Results: All the 742 Ⅰ incisions were treated with antimicrobial agents, 195 without indications and 209 with combination drugs. For the first administration, 169 (22.8%) patients were preoperative 0.5 to 2 h and preoperative> 2 h 266 cases (35.8%) were applied, 307 cases (41.4%) were applied without surgery and postoperatively. CONCLUSION: There are some problems in class Ⅰ incision surgery in our hospital such as the high grade of antibacterial drugs, long time, high combined use rate and improper use of drugs. Management should be strengthened.