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目的 :为Ⅰ类切口手术围术期抗菌药物的合理预防使用提供参考。方法 :随机抽取某三甲医院2016年1月—12月Ⅰ类切口手术患者病例720份,对Ⅰ类切口手术围术期预防使用抗菌药物情况进行回顾性分析。结果 :在720例Ⅰ类切口手术患者中,预防使用抗菌药物207例,占28.75%。预防使用抗菌药物以头孢菌素为主,占92.27%,头孢唑林和头孢替安的使用频次位于前2名。其中,预防用药不合理共51例,占24.64%。结论 :该院Ⅰ类切口手术围术期抗菌药物预防使用率符合卫生部规定,但仍存在不合理现象,应通过更新药品目录、举办专题讲座、药师主动进科室宣教等模式,更加规范Ⅰ类切口手术围术期抗菌药物的合理使用。
Objective: To provide a reference for rational prevention and treatment of antibacterials during perioperative period of type Ⅰ incision. Methods: A total of 720 patients with type Ⅰ incision surgery in a top-tier hospital from January 2016 to December 2016 were randomly selected. The clinical data of prevention and treatment of antimicrobial agents in type Ⅰ incision were analyzed retrospectively. Results: Of 720 patients with type Ⅰ incision surgery, prevention of the use of antibiotics in 207 cases, accounting for 28.75%. Cefazolin was the mainstay of antibacterial drug use, accounting for 92.27% of the total. Cefazolin and cefotiam were used in the top two frequency bands. Among them, the prevention of unreasonable use of a total of 51 cases, accounting for 24.64%. Conclusion: The preventive rate of antimicrobial agents in perioperative period of Class I incision in this hospital accords with the requirements of the Ministry of Health. However, there are still some unreasonable phenomena. Class I should be further regulated by updating the drug catalogs, holding seminars and pharmacists’ Rational use of perioperative antimicrobial agents in incision.