Prophylactic Usage of Antibiotics in Orthopedic Type Ⅰ Incision Surgery
Objective To find out about the prophylactic usage of antibiotics in patients undergoing orthopedic type Ⅰ incision surgery,evaluate the rationality,and provide references for rational use of antibi-otics in surgery.Methods A total of 1927 cases of orthopedic inpatients who had undergone type Ⅰ incision surgery between January 2022 and October 2023 were selected by the military hospital infection real-time monitoring system.The rationality of preventive medications was analyzed,and the Pareto analysis method was used to analyze the primary,secondary,and minor manifestations of irrational medications.Results There were 1356 cases of prophylactic drug use in 1927 cases of type Ⅰ incision surgery,and the rate of prophylactic use was 70.37％.It was found that 589 of these patients were given antibiotics 0.5-1 hour preoperatively,accounting for 43.44％,while 546 were given prophylactic medications for less than 24 h,accounting for 40.26％.Cefuroxime(89.01％)and levofloxacin(8.26％)were the top two preven-tive drugs used.Irrational use of preventive drugs was found in 812 cases,and the rate of irrational use of drugs was 59.88％.The results of Pareto analysis showed that irrational drug use mostly involved inappro-priate courses of treatment and irrational timing of preventive medications,with 810 cases(40.76％)and 767 cases(38.60％)respectively.The second most common flaws were the use of preventive medications without indications(202 cases,10.17％).Minor flaws included improper selection of preventive medica-tions,no additional medication for surgeries that lasted more than 3 h and imperfect combination of medi-cations,which were 137 cases(6.89％),56 cases(2.82％)and 15 cases(0.75％)respectively.Conclusion The perioperative prophylactic use of antibiotics in orthopedic type Ⅰ incision has some flaws,such as inappropriate courses of prophylactic medications,improper timing of administration,and no indi-cations of prophylactic medication.Corresponding measures should be taken to strengthen the supervision of antibiotics and promote the rational use of antibiotics.
万方数据
维普
