摘要
目的调查外科病区围手术期患者抗菌药物使用的现状及合理性,促进抗菌药物的合理使用。方法设计围手术期抗菌药物使用情况调查表,按照卫生部颁布的《抗菌药物临床应用指导原则》,制定围手术期抗感染药物使用评价标准,对200例普外科患者围手术期抗菌药物应用进行回顾性分析。结果 119例患者使用了抗菌药物,术前和术后使用抗菌药物的比例分别为9%和99%;头孢菌素类药物使用率最高,其次为硝基咪唑类、喹诺酮类。术后单用、二联、三联应用抗菌药物的比例分别为21.5%、65.5%和13.0%,手术后17%的患者用药时间>7 d。结论在围手术期抗菌药物的使用中存在着不合理之处,应加强管理。
【Objectives】To investigate the situation and the rationality of antibiotics use in general surgery during perioperative period and to accelerate the correct application of antibiotics.【Methods】According to ＇The Guidance of Clinical Application of Antibiotics＇ issued by the Ministry of public Health of China.200 cases of patients used antibiotics during peri-operative period were retrospectively analyzed.【Results】Antibiotics were used in 119 patients.38.8% and 99% of them were given antibiotics before operation and after operation.Cephalsporins were used most frequently,nitroimidazoles were the second,then quinolones.21.5% of patients received single antibiotics treatment,and 65.5% and 13.0% of all patients received 2 and 3 kinds of antibiotics combined therapy respectively.17% of the patients were treated with antibiotics for more then 7 days.【Conclusion】Improper application of antibiotics during peri-operative period needs higher level administration.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2012年第8期90-93,共4页
China Journal of Modern Medicine
关键词
围手术期
抗菌药物
合理性
调查分析
peri-operative period
antibiotics
rationality
analysis
