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目的分析我院妇产科住院患者围手术期抗菌药物使用情况,评价用药合理性。方法随机抽取2009年5月1日—2010年4月30日在我院妇产科住院手术病例350例,对围手术期抗菌药物的合理性进行分析评价。结果①围手术期预防性抗菌药物使用率为100%;②用药种类:包括头孢菌素类、硝基咪唑类、磷霉素类、喹诺酮类;头孢菌素类占用药者的70.22%,硝基咪唑类、磷霉素类、喹诺酮类分别为18.16%,7.26%,2.42%;③平均每例用药天数:(3.05±2.02)d,占住院时间的45.23%;④给药时间:手术开始前2 h内用药者占100%,手术结束后用药的占0%。结论我院给药时间、用药种类方面基本合理。预防性抗生素使用率过高,尤其I类切口预防使用抗菌药物及疗程不合理,需要进一步规范。
Objective To analyze the perioperative antimicrobial use of obstetrics and gynecology patients in our hospital and evaluate the rationality of the medication. Methods A total of 350 hospitalized cases of obstetrics and gynecology in our hospital from May 1, 2009 to April 30, 2010 were randomly selected. The rationality of perioperative antibiotics was analyzed and evaluated. Results ① Perioperative prophylactic antimicrobial use rate was 100%; ② types of drugs: including cephalosporins, nitroimidazoles, fosfomycin, quinolones; cephalosporins account for 70.22% of drug users, nitrate The average number of days for each medication: (3.05 ± 2.02) d, accounting for 45.23% of the hospital stay; ④Dosing time: the beginning of surgery Medication in the first 2 h accounted for 100%, accounting for 0% after surgery. Conclusions Our hospital administration time, types of medication is basically reasonable. Preventive antibiotic use is too high, especially Class I incision to prevent the use of antimicrobial drugs and treatment is unreasonable, the need for further regulation.