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目的:分析某医院心血管介入术围术期患者抗菌药物的使用情况及存在问题。方法:采用回顾性调查分析法,对某院2013年1—6月间行心血管介入术的85例患者的用药情况作了分析。结果:冠状动脉造影术及经皮冠状动脉介入等手术围术期预防性抗菌药物的使用率为零,符合要求;心脏起搏器植入术围术期预防用抗菌药物的使用率为14.12%;预防用药时机和疗程合理率分别为50.00%和83.33%;预防用药品种多为克林霉素,占83.33%。结论:该院心血管介入术围手术期抗菌药物的使用较为合理,但在给药时机把握上仍需进一步提高。
Objective: To analyze the usage and existing problems of antimicrobial agents in perioperative patients undergoing cardiovascular intervention in a hospital. Methods: A retrospective survey was performed to analyze the medication of 85 patients who underwent cardiovascular intervention from January to June in 2013 in a hospital. Results: The rates of perioperative prophylactic antibiotic use during coronary angiography and percutaneous coronary intervention were zero, which met the requirements. The perioperative prophylactic use of antimicrobials in pacemaker implants was 14.12% ; Prophylactic treatment time and reasonable treatment rates were 50.00% and 83.33% respectively; the majority of preventive drugs were clindamycin, accounting for 83.33%. Conclusion: The perioperative use of antimicrobial agents in cardiovascular intervention in this hospital is more reasonable, but it still needs further improvement in the timing of drug administration.