Analysis of prophylactic use of preoperative anti-bacterial in type Ⅰ incision operations
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摘要: 目的 分析某三甲医院Ⅰ类切口手术预防性使用抗菌药物的合理性。 方法 抽取某院2012 年5月至2013年5月Ⅰ类切口手术出院病历共251份,回顾性调查分析预防性使用抗菌药物情况。 结果 抗菌药物使用率为98.41%,使用抗菌药物的247例病例中,第一代头孢菌素使用率为28.57%,术前0.5~2 h抗菌药物的使用率为61.94%。应用疗程控制在术后48 h内的手术例数占样本总数的14.17%。 结论 该院Ⅰ类切口手术预防用抗菌药物存在不合理现象,需进一步规范。Abstract: Objective To investigate the rationality of prophylactic use of anti-bacterial in 251 type Ⅰ incision operations. Methods The anti-bacterial use of 251 type Ⅰ incision operations sampled randomly from May 2012 to May 2013 were retrospectively analyzed. Results The prophylactic antibiotics rate was 98.41% in the 251 cases of the type Ⅰ incision;among the 247 cases used anti-bacterial,the utility rate of first generation cephalosporin antibiotic was 28.57% after surgery and the rate of prophylactic antibiotic use within 0.5-2 h before operation was 61.94%.14.17% of antibiotic treatment was finished within 48 h after surgical operation. Conclusion There was the unreasonable situation in the prophylactic use of anti-bacterial, which need to be improved.
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Key words:
- type Ⅰ incision operation /
- antibacterials /
- perioperative period
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