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目的:了解我院外科围手术期患者抗菌药物的应用情况。方法:对我院2008年1-6月384例外科围手术期患者预防性应用抗菌药物的种类、用药时间、疗程及联用情况等进行回顾性分析。结果:384例手术患者有315例在围手术期预防性应用抗菌药物,占82.03%。药物种类以头孢菌素类为主。不合理用药主要表现在预防用药档次偏高、用药时机选择不当、术后用药时间过长、不合理联合用药及未能正确应用药敏试验结果等。结论:应加强围手术期抗菌药物应用管理,并制定相应的监管措施。
Objective: To understand the application of antibiotics in perioperative patients in our hospital. Methods: A retrospective analysis was performed on the types of prophylactic antibiotics used in 384 surgical perioperative patients in our hospital from January to June 2008, the duration of treatment, duration of treatment and combination. Results: Among 384 surgical patients, 315 were prophylactic antibiotics in perioperative period, accounting for 82.03%. The main types of drugs to cephalosporins. Irrational use of drugs mainly in the high grade of preventive medication, improper timing of medication, medication time is too long, unreasonable combination of medication and failure to correctly apply drug susceptibility test results. Conclusion: Perioperative management of antimicrobial agents should be strengthened and corresponding regulatory measures should be formulated.