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目的评价某院Ⅰ类切口手术抗菌药物使用的合理性。方法采用分层抽样方法选取广东东莞仁康医院2013年1月1日至6月30日收治的Ⅰ类切口手术住院患者351例。按科室分别统计出Ⅰ类切口手术抗菌药物使用率、有指征的用药比例、合理用药时机、用药疗程等。结果该院Ⅰ类切口手术抗菌药物使用率为26.78%(94/351),符合卫生部低于30.00%的要求;各科室有指征用药基本位于50.00%以上,平均使用时间小于24 h,但术前0.5~2.0 h用药的比例不高[65.96%(62/94)]。结论该院Ⅰ类切口手术抗菌药物使用率符合卫生部要求,用药时机趋于合理。
Objective To evaluate the rationality of using Class Ⅰ incision antibacterials in a hospital. Methods Stratified sampling method was used to select 351 hospitalized patients with type Ⅰ incision in Renkang Hospital of Dongguan, Guangdong Province from January 1 to June 30, 2013. According to the department statistics were Ⅰ type incision operation antibacterial drug usage, there are indications of the proportion of medication, reasonable timing of medication, medication and so on. Results The usage rate of Class I incision in this hospital was 26.78% (94/351), which was less than 30.00% of the requirements of the Ministry of Health. In all departments, the indications were basically above 50.00%, and the average use time was less than 24 hours Preoperative 0.5 ~ 2.0 h medication rate is not high [65.96% (62/94)]. Conclusions The usage of antibacterials in type Ⅰ incision in this hospital meets the requirements of the Ministry of Health, and the timing of medication tends to be reasonable.