目的：评价我院围手术期预防应用抗菌药物情况，促进临床合理用药。方法：对我院2012年7-9月份所抽查的145例患者抗菌药物专项点评资料进行回顾性分析，从抗菌药物的品种选择、用药时机、用药疗程、联合用药等指标进行分类统计。结果：所抽查145病例中抗菌药物使用率为79.3%，Ⅰ类切口手术抗菌药物使用率为72.5%，术前0.5h~2h用药病例为57例，术前2h用药病例为7例，术后用药病例为51例；预防用药疗程≤1d的有2例；≤2d的21例；3~7d的64例；＞7d的8例。Ⅰ类切口和Ⅱ类切口的平均用药天数分别为4.2d和5.6d。结论：我院围手术期抗菌药物的使用仍存在不合理之处，应加强管理，规范用药。%Objective: To evaluate the perioperative antibiotic prophylaxis in our hospital to promote rational antibiotic use. Method: Totally 145 operative cases from July to September in 2012 were included. Data of perioperative antibiotic prophylactic use on drug categories, administration timing, duration of treatment and combined medication were collected and analyzed retrospectively. Results: The rate of antibiotic prophylaxis was 79.3% for all operative cases and 72.5% for class I operation, respectively. Antibiotics were administrated 0.5h-2h before oparation in 57 cases, 2h before surgery in 7 cases and postoperatively in 51 cases. The duration of prophylaxis is less than 1d in 2 cases, less than 2d in 21 cases, 3-7d in 64 cases and more than 7d in 8 cases. The average days of medication for class I incision and class II incison were 4.2d and 5.6d respectively. Conclusion:There is still unreasonableness in the perioperative antibiotic prophylaxis in our hospital. We should standardize the usage and management of antibiotics.
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