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目的调查我院I类切口手术抗菌药物的使用情况。方法选取2013年10月—2014年9月攀枝花市中心医院收治的I类切口手术患者156例,采用回顾性调查研究方式,对患者手术时间、手术类型、围术期抗菌药物的使用情况(具体内容包括抗菌药物的名称、规格、服用剂量、服用时间等)进行采集。结果 156例患者中围术期使用抗菌药物者138例,使用率为11.54%;138例使用抗菌药物的患者中,单一用药的患者131例(94.93%),术后用药患者130例(94.20%),预防用药时间为49~72h的患者68例(49.28%);138例使用抗菌药物的患者共计使用抗菌药物147次,按照使用频率排序,位于前5位的分别为头孢硫脒、头孢替安、阿莫西林克拉维酸钾、氟氯西林钠、哌拉西林舒巴坦。结论我院I类切口手术患者抗菌药物应用较为合理,针对存在的问题应采取针对性的措施进行改良和完善,从而提高I类切口手术抗菌药物应用的合理性和规范性。
Objective To investigate the use of Class I incision surgical antibacterials in our hospital. Methods A total of 156 patients with type I incision admitted from October 2013 to September 2014 in Panzhihua Central Hospital were enrolled in this study. The retrospective investigation methods were used to evaluate the operation time, operation type, perioperative antibacterial usage Including the name of antimicrobial drugs, specifications, dosage, taking time, etc.) for collection. Results Among the 156 patients, 138 cases were treated with antibiotics during the perioperative period, with a usage rate of 11.54%. Of the 138 patients taking antimicrobial drugs, 131 (94.93%) were given monotherapy and 130 (94.20% ), And 68 (49.28%) patients with prophylaxis duration of 49 ~ 72h. Of the 138 patients taking antimicrobial drugs, 147 antibacterials were used in total. According to the frequency of use, the top five were cefathiamidine, Ann, amoxicillin potassium clavulanate, flucloxacillin sodium, piperacillin sulbactam. Conclusion The application of antibacterials in type I incision surgery in our hospital is more reasonable. We should take pertinent measures to improve and perfect the existing problems so as to improve the rationality and standardization of the application of type I incision.