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目的:了解某院甲状腺手术抗菌药物的使用情况。方法:制作药历,对某院350例甲状腺手术患者抗菌药物的应用进行回顾性分析。结果:甲状腺手术患者抗菌药物使用率为98.3%,共涉及7类42种抗菌药物,其中哌拉西林/他唑巴坦钠的使用频率最高,达18.6%;其次是头孢呋辛、头孢他啶及头孢唑肟,均为8%。预防用药平均为3.6 d。结论:某院甲状腺手术抗菌药物的使用在品种选择、联合用药、预防用药的时机及疗程等方面存在着不合理现象。
Objective: To understand the use of thyroid surgery antibiotics in a hospital. Methods: Making a medical record, retrospectively analyzed the application of antimicrobial agents in 350 cases of thyroid surgery in a hospital. Results: The use rate of antibacterials in patients with thyroid surgery was 98.3%, involving a total of 42 kinds of antimicrobials in 7 categories. The most frequently used piperacillin / tazobactam sodium was 18.6%, followed by cefuroxime, ceftazidime and cefuroxime Azole oxime, both 8%. The average prophylaxis dose was 3.6 days. Conclusion: The use of antimicrobial agents for thyroid surgery in a hospital is unreasonable in terms of variety selection, combination therapy, timing of preventive medication and course of treatment.