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目的了解外科清洁手术围手术期抗菌药物预防使用情况,加强抗菌药物使用管理。方法采用回顾性调查方法,对医院外科部分清洁(Ⅰ类切口)手术围手术期预防性用药情况进行调查与分析。结果在调查的94例清洁手术患者中,抗菌药物预防性使用率94.68%,其中无指征用药占79.78%。预防用药开始时间在术前0.5～2h内执行占61.70%,术后24h内停药仅占13.82%。结论该医院Ⅰ类切口手术预防用药比例较大,用药起点较高,存在抗菌药物使用不合理现象。
Objective To understand the perioperative prevention and treatment of antimicrobial agents in surgical cleansing surgery and to improve the management of antimicrobial use. Methods A retrospective survey was conducted to investigate the perioperative prophylactic use of some surgical (Ⅰ type incision) surgeries in hospitals. Results Among the 94 patients who underwent clean operation, the preventive use rate of antibacterials was 94.68%, of which 79.78% were non-indications. Prophylaxis began within 0.5 ~ 2h before surgery, accounting for 61.70%, only within 24 h after discontinuation of drugs accounted for 13.82%. Conclusion The hospital Ⅰ type incision surgery prevention medication a larger proportion of high starting point for the use of anti-bacterial drugs used unreasonable phenomenon.