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目的了解滨海新区汉沽中医医院Ⅰ类切口手术围手术期预防性应用抗菌药物情况,为围手术期抗菌药物合理应用和管理提供参考。方法对滨海新区汉沽中医医院2015年1月-2016年10月Ⅰ类切口手术出院病例专项点评情况进行汇总分析。结果Ⅰ类切口手术围手术期抗菌药物使用率为33.53%,其中术前0.5~1h给药占9 8.2 5%;抗菌药物品种选择主要为头孢西丁占68.42%,其次为头孢硫脒占19.30%,头孢替唑占8.77%,氨曲南占3.51%;使用疗程≤24h的占56.14%,24~48h的占12.28%,>48h的占31.58%。结论滨海新区汉沽中医医院Ⅰ类切口手术围手术期预防性应用抗菌药物存在用药指征把握不严、抗菌药物品种选择不合理、疗程过长现象,还需进一步规范。
Objective To understand the perioperative prophylactic use of antimicrobial agents in class Ⅰ incision in Hangu Hospital of Traditional Chinese Medicine, Binhai New District, and provide a reference for the rational application and management of antimicrobial agents in perioperative period. Methods To summarize and analyze the special reviews of Ⅰ type incision surgeries discharged from Hangu Hospital of Traditional Chinese Medicine from January 2015 to October 2016 in Binhai New Area. Results The perioperative antibacterials utilization rate was 33.53% in class Ⅰ incision operation, of which 9 8.25% was administered 0.5-1h preoperatively. The main antibacterials were cefoxitin 68.42%, followed by cefathiamidine 19.30 %, Ceftezole accounted for 8.77%, Aztreonam accounted for 3.51%; use of treatment ≤ 24h accounted for 56.14%, 24 ~ 48h accounted for 12.28%,> 48h accounted for 31.58%. Conclusions The perioperative prophylactic use of antimicrobial agents in class Ⅰ incision in Hangu Chinese Medicine Hospital of Binhai New Area has not been properly controlled by indications. The selection of antimicrobial agents is irrational and the course of treatment is long and needs further specification.