论文部分内容阅读
目的了解胆道手术围手术期预防用抗菌药物的使用情况,进一步规范抗菌药物的合理应用和为提高抗菌药物的管理提供依据。方法回顾性调查余姚市人民医院2013年1月至10月间300例胆道手术围手术期预防用抗菌药物的使用,并对其使用合理性进行评价。结果 300例手术预防用抗菌药物使用率为100%,使用率最高的是头孢哌酮/舒巴坦103例,占34.33%,其次是头孢他啶71例,占23.67%;术前30 min~2 h给药236例,占78.67%;抗菌药物单用286例,占95.33%;二联联用14例,占4.67%;用药疗程<48 h为95例,占31.67%;>72 h为97例,占32.33%。结论该院胆道手术围手术期抗菌药物预防用药存在一定不合理性,须继续加强胆道手术围手术期预防用药的规范化管理,促进抗菌药物的合理使用。
Objective To understand the use of antimicrobial agents for perioperative prevention of biliary tract surgery, to further standardize the rational use of antimicrobial agents and provide basis for improving the management of antimicrobial agents. Methods A retrospective survey of 300 cases of perioperative prophylactic antimicrobials used in biliary tract surgery in Yuyao People’s Hospital from January to October 2013 was conducted and the rationality of its use was evaluated. Results The use of antibacterials for prevention of surgery was 100%. The highest usage rate was cefoperazone / sulbactam in 103 cases (34.33%), followed by ceftazidime in 71 cases (23.67%). Preoperative 30 min to 2 h 236 cases, accounting for 78.67%; antimicrobial drugs alone 286 cases, accounting for 95.33%; two associated with 14 cases, accounting for 4.67%; medication course <48 h was 95 cases, accounting for 31.67%;> 72 h was 97 cases , Accounting for 32.33%. Conclusion There are some unreasonable antimicrobial prophylaxis drugs in perioperative period of biliary tract surgery in this hospital. It is necessary to continue to strengthen the standardized management of perioperative prophylaxis in biliary tract surgery and promote the rational use of antimicrobial drugs.