| 唐景财.Ⅱ类切口手术围术期预防使用抗菌药物调查分析[J].中国药事,2017,(4):453-457 |
| Ⅱ类切口手术围术期预防使用抗菌药物调查分析 |
| Investigation and Analysis of Prophylactic Antimicrobial Application during the Perioperative Period of Type Ⅱ Incision Surgery |
| 投稿时间：2016-08-21 |
| DOI：10.16153/j.1002-7777.2017.04.018 |
| 中文关键词: 切口手术 围手术期 预防感染 抗菌药物 合理用药 |
| 英文关键词: incision surgery perioperative period infection prevention antibiotics rational drug use |
| 基金项目: |
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| 中文摘要: |
| 目的：评价Ⅱ类切口手术围手术期抗菌药物应用情况，为提高围手术期预防使用抗菌药物合理性提供依据。方法：采用回顾性调查方法，抽取我院2016年1-4月共333例Ⅱ类切口手术出院病历，对围手术期预防用药情况进行统计分析，并评价其合理性。结果：333例Ⅱ类切口手术预防应用抗菌药物共310例，预防使用率为93.10%；不合理预防应用抗菌药物共40例，占比12.0%。不合理用药类型主要表现为选用品种不当（2.26%）、给药时机不适宜（8.4%）、用法用量不正确（1.6%）和预防用药疗程过长（2.26%）。结论：减少Ⅱ类切口手术围术期抗菌药物的不合理应用，应加强干预措施，加强术前准备，强化无菌概念，提高手术质量。 |
| 英文摘要: |
| Objective: To evaluate the prophylactic antimicrobial application during the perioperative period of type Ⅱ incision surgery, in order to provide references for improving the rationality of perioperative prophylactic use of antimicrobial agents. Methods: A retrospective survey method was used, and a total of 333 discharged medical records of type Ⅱ incision surgery were randomly selected from January to April 2016 in our hospital. Statistical analysis of perioperative prophylaxis was conducted and its rationality was evaluated. Results: Among the 333 cases of typeⅡ incision surgery, a total of 310 cases had prophylactic use of antimicrobial agents, with a prophylactic use rate of 93.10%; there were 40 cases of unreasonable prophylactic application of antibiotics, accounting for 12%. Irrational drug use types were mainly improper selection of prophylactic drugs (2.26%), preoperative inappropriate timing of administration (8.4%), incorrect usage and dosage (1.6%), and excessively long duration (2.26%). Conclusion: The unreasonable perioperative antimicrobial application in typeⅡ incision surgery should be reduced, interventions and aseptic conception should be strengthened, so as to improve the quality of surgery. |
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