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目的调查我院外科病区Ⅰ类切口手术预防性使用抗菌药物情况及合理性。方法抽取307例Ⅰ类切口手术患者病例,对其用药类别、用药时间、联合用药等情况进行统计分析。结果Ⅰ类切口手术预防性应用抗菌药物为97.72%,术前用药162例,术后24小时停药6例,术后48小时停用抗菌药物32份,术后用抗菌药物超过48小时262份。结论我院Ⅰ类切口手术预防性应用抗菌药物存在指征把握不严,用药种类不当及用药时间过长等问题,急需加强监管。
Objective To investigate the situation and rationality of prophylactic use of antibacterials in surgical incision of type Ⅰ in our hospital. Methods A total of 307 patients with type Ⅰ incision surgery were enrolled in this study. Their medication categories, medication duration, and combination therapy were statistically analyzed. Results Class Ⅰ incision operation prophylactic application of antibacterial drugs was 97.72%, 162 cases of preoperative medication, 6 cases were discontinued 24 hours after surgery, 48 hours after the discontinuation of antimicrobial drugs 32, after antibacterial drugs for more than 48 hours 262 . Conclusion Class I incision in our hospital prophylactic use of anti-bacterial drugs indications laxity, inappropriate medication and medication time is too long and other issues, the urgent need to strengthen supervision.