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目的:了解我院Ⅰ类切口手术预防性应用抗菌药使用情况。方法:随机抽查我院2009～2010年甲状腺手术、乳腺手术、腹股沟疝修补术3种Ⅰ类切口手术病历177例进行回顾性调查分析。结果:177例病历中,抗菌药预防使用率100%,无指征用药为55.4%;抗菌药使用例次居前3位依次是第一代、第二代头孢菌素、喹诺酮类;术前30 min-2 h应用147例(83.1%),术前>2 h应用24例(13.6%),术后平均用药时间6.8 d。结论:我院3种Ⅰ类切口手术预防用药存在指征把握不严、用药时机和用药时间不合理的问题,应针对存在问题采取必要的干预措施进行监督管理,促进抗菌药在3种Ⅰ类切口手术预防感染的合理应用。
OBJECTIVE: To understand the preventive use of antibacterials in class Ⅰ incision in our hospital. Methods: A total of 177 surgical records of type Ⅰ incision for thyroid surgery, breast surgery and inguinal hernia repair in our hospital from 2009 to 2010 were retrospectively analyzed. Results: Among 177 medical records, the prevention and cure rate of antibacterials was 100% and 55.4% respectively. The first three antibacterials were the first and second generation cephalosporins and quinolones, 147 cases (83.1%) were treated with 30 min-2 h, 24 cases (13.6%) were treated with> 2 h before operation, and the average postoperative medication time was 6.8 d. CONCLUSION: There are indications for the prevention and treatment of three types Ⅰ incision in our hospital are not strict, the timing and timing of medication is unreasonable, should take the necessary intervention measures for the supervision and management of existing problems to promote the antimicrobial agents in three types of Ⅰ Incision surgery to prevent infection of the rational application.