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目的:了解不同类别切口肿瘤患者围术期抗菌药物的应用情况。方法:随机抽取我院2007年7月～2008年6月各季度外科肿瘤手术患者出院病历15份,共60份,进行围术期抗菌药物应用统计、分析。结果:切口感染率为0%,抗菌药物应用率达100%,Ⅰ类切口手术平均用药1.5种,疗程4.8d;Ⅱ类1.9种,疗程7.7d。所选药物头孢菌素类占68.3%(41/60),喹诺酮类占41.7%(25/60)。结论:我院不同类别切口手术感染控制较好,但是否都应预防性应用抗菌药物及品种选择有待根据药敏情况作进一步研究。给药时机、应用时间和联合用药情况还需改善。
Objective: To understand the application of perioperative antibiotics in patients with different types of incisional tumors. Methods: Fifteen patients with surgical tumor surgeries in our hospital from July 2007 to June 2008 were randomly selected. A total of 60 medical records were collected for statistical analysis of perioperative antibacterials. Results: Incision infection rate was 0%, antibacterial drug application rate was 100%, type Ⅰ incision operation average medication 1.5 kinds, the course of treatment 4.8d; Ⅱ class 1.9 kinds, treatment 7.7d. The selected drugs cephalosporins 68.3% (41/60), quinolones accounted for 41.7% (25/60). Conclusion: In our hospital different types of surgical incision infection control better, but whether the prophylactic use of antibacterial drugs and the choice of species to be based on susceptibility to further study. The timing of administration, application time and the combination of medication need to be improved.