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目的:了解我院外科清洁手术抗菌药应用情况。方法:随机抽查我院2007年外科清洁手术病历396份,对抗菌药的使用种类、给药时间和疗程进行统计分析。结果:396例清洁手术均使用了抗菌药,应用频率最多的为头孢菌素类,占57.6%。术前0.5～2 h应用抗菌药占84.8%;术前未用抗菌药病例占13.6%,术前>2 h应用抗菌药占1.5%,手术时间大于3 h的都未追加抗菌药。结论:我院外科清洁手术抗菌药的应用还存在较多问题,应加强抗菌药合理应用的规范化管理。
Objective: To understand the application of surgical clean surgical antibiotics in our hospital. Methods: A random sample of 396 cases of surgical cleansing surgery in our hospital in 2007, the use of antimicrobial drugs, administration time and course of treatment for statistical analysis. Results: Antimicrobial agents were used in 396 cases of cleansing surgery. The most frequently used cephalosporins were cephalosporins, accounting for 57.6%. Preoperative 0.5 ~ 2 h application of antibacterial drugs accounted for 84.8%; preoperative unmedicated cases accounted for 13.6%, preoperative> 2 h application of antimicrobial agents accounted for 1.5%, the operation time is greater than 3 h did not add antimicrobial agents. Conclusion: There are still many problems in the application of surgical clean surgical antibiotics in our hospital, and the standardized management of rational use of antibacterials should be strengthened.