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目的探讨医院围术期抗菌药物使用情况。方法选取2014年7-12月于江苏省丰县中医医院行手术治疗的患者资料240例,对患者抗菌药物应用的合理性进行评价。结果术前使用频繁最高的药物为第1代头孢菌素类药物,术后使用频率最高的药物为抗厌氧菌药物;Ⅲ类切口手术抗菌药物的不合理应用率明显低于Ⅰ、Ⅱ类,差异有统计学意义(P<0.05);医院围术期抗菌药物不合理使用主要为术后用药时间长,其次为药物种类不当。结论目前医院围术期抗菌药物的使用仍存在不合理现象,需加强对医务人员抗菌药物知识的培训与管理,强化合理用药意识,以提高围术期抗菌药物应用的合理性。
Objective To investigate the perioperative antibacterials usage in hospitals. Methods A total of 240 patients with surgically treated Fengxian Hospital of Traditional Chinese Medicine from July 2014 to July 2014 were selected to evaluate the rationality of antibacterials. Results The most frequently used drugs before surgery were the first-generation cephalosporins and the most frequently used drugs after the surgery were anti-anaerobic drugs. The irrational application rate of Class III incision anti-bacterial drugs was significantly lower than that of Class Ⅰ and Ⅱ, with the difference being Statistical significance (P <0.05). The irrational use of perioperative antibacterials during hospitalization was mainly due to the long duration of medication, followed by improper drug types. Conclusions At present, there is still an unreasonable use of perioperative antibacterials in hospitals. Training and management of antibacterials knowledge of medical staffs need to be strengthened, awareness of rational drug use should be strengthened, and rationality of perioperative antibacterials application should be improved.