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目的:探讨我院剖宫产手术后切口感染病例的用药合理性。方法:调取2013年9月—2015年8月剖宫产手术切口感染病例(剔除掉脂肪液化病例,分析血培养阳性的感染病例),逐一分析抗菌药物预防性应用的合理性。结果:2013年9月至2015年8月51例切口感染病例中,断脐后给药37例,其中20例有高危因素,仅15例进行了追加抗感染,但给药间隔时间长,24 h内用药频次不够,51例手术5例合用了替硝唑。结论:切口感染病例中不合理用药情况较为普遍,应加强抗菌药物的培训,做到个体化给药。
Objective: To investigate the rationality of medication in patients with incision infection after cesarean section in our hospital. Methods: The cases of cesarean surgical incision infection (excluding fat liquefaction cases and blood culture positive cases) were retrieved from September 2013 to August 2015, and the rationality of prophylactic use of antimicrobial agents was analyzed one by one. Results: From September 2013 to August 2015, 37 cases of wound infection were cut off from the umbilicus, of which 20 cases were at risk. Only 15 cases were additionally anti-infective, but the administration interval was long, 24 h frequency of medication is not enough, 51 cases of surgery combined tinidazole 5 cases. Conclusions: Irrational drug use in incisional wound infections is more common. Training of antimicrobial agents should be strengthened to achieve individualized administration.