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Ⅰ类切口围手术期抗菌药使用分析
Investigation of the Use of Antimicrobial Prophylaxis in Clean Surgery
  
DOI:
中文关键词:  Ⅰ类切口  围手术期  抗菌药  合理用药
英文关键词:Clean surgery  Prophylaxis  Antimicrobial agent  Rational drug use
基金项目:辽宁省科学技术计划重点项目(编号:2011225020)
作者单位
文小静 中国医科大学附属第四医院药学部(沈阳 110032)。 
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中文摘要:
      摘 要 目的:分析我院Ⅰ类切口手术围手术期抗菌药使用情况。方法:收集我院2011年Ⅰ类切口手术病历,包括乳腺区段/肿物切除术、甲状腺肿物/次全切除术、无张力疝修补术、切开复位内固定术、精索静脉结扎术等269例,进行回顾性分析,评价抗菌药的应用合理性。结果:围手术期抗菌药预防应用率为93.68%,给药时机合理的比例为82.53%,给药品种合理的比例为72.49%,给药疗程合理的比例为76.95%,联合用药的比例为7.81%。结论:需不断规范围手术期抗菌药的预防应用,严格掌握用药指征,各方面共同努力达到合理用药。
英文摘要:
      ABSTRACT Objective:To investigate the use of the antimicrobial prophylaxis in clean surgery in the hospital. Methods:269 cases were selected to review the evaluation of the rationality of antimicrobial application retrospectively,including the resection of the mammary gland section/the resection of the breast neoplasm,subtotal thyroidectomy/thyroid tumor resection,tension-free hemioplasty, open reduction and internal fixation,and high ligation of internal spermatic cord vein.Results:The rate of antimicrobial prophylaxis was 93.68%,the rational timing of administration occupied 82.53%,the rate of suitable choice of antimicrobial agent was 72.49%,the reasonable proportion of curative time was 76.65%,and the rate of combination was7.81%.Conclusion:The application of antimicrobial prophylaxis should be standardized continuously while great efforts will be made in various fields to promote the rational administration.
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