100例神经外科患者围手术期抗菌药物使用情况调查分析

摘要

Objective: To investigate the perioperative use of antibacterials in neurosurgery, in order to provide reference for clinical practice. Methods:A total of 100 cases of neurosurgery outpatients were randomly extracted from May 1, 2012 to April 30, 2013, and the utilization of the antibacterials was analyzed by retrospective method. Results:The prophylactic utilization rate of antibacterials was 95.00%in 100 cases. The cases with reasonable use of antibiotics accounted for 95.79%. The qualiifed rate of the medication time before operation was 87.37%and the cases with duration of antibiotic prophylaxis within 24 hours occupied 15.79%. The rational utilization rate of vancomycin was 54.55%. Conclusion: The perioperative use of antibacterials in neurosurgery of our hospital was basically reasonable, while there were still some unreasonable applications that should be further supervised and managed.%目的：了解我院神经外科围手术期抗菌药物使用现状，为促进临床合理用药提供参考。方法：采用回顾性调查方法，随机抽取我院2012年5月1日-2013年4月30日100例神经外科出院患者手术病历，对抗菌药物使用情况进行统计分析。结果：100例神经外科手术患者抗菌药物预防性使用率为95.00%，选药合理占95.79%，术前给药时机合理占87.37%，总预防用药时间≤24 h占15.79%，万古霉素用法用量合理占54.55%。结论：我院神经外科围手术期抗菌药物的使用基本合理，但仍存在一些不合理现象，应进一步加强监督和管理。