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目的:评价某院Ⅰ类切口手术围术期抗菌药物应用的合理性。方法:采用回顾性调查方法,对某院2009年9月-2010年8月出院的823份Ⅰ类切口手术病历资料进行统计、分析。结果:该院Ⅰ类切口手术围术期抗菌药物预防应用率达91.01%,单一、二联用药率分别为83.84%、7.17%,抗菌药物使用频次排序列前3位的依次为头孢替安、头孢呋辛、哌拉西林/舒巴坦。结论:该院Ⅰ类切口手术围术期抗菌药物应用存在不合理现象,如选药不当、用药时间过长等,需进一步规范。
Objective: To evaluate the rationality of perioperative antibacterials application in class Ⅰ incision in a hospital. Methods: A retrospective survey was conducted to analyze the data of 823 surgical incision cases of type Ⅰ incision discharged in a hospital from September 2009 to August 2010. Results: The preventive rate of antimicrobial agents was 91.01% during the perioperative period in Class Ⅰ incision. The rates of single and dual drug use were 83.84% and 7.17% respectively. The order of top 3 antimicrobial frequency was cefotiam, Cefuroxime, piperacillin / sulbactam. CONCLUSION: There is an irrational use of antibacterials during the perioperative period for class Ⅰ incision in our hospital. For example, improper drug selection and overdosage require further specification.