Analysis of Prophylactic Use of Perioperative Antibacterial Drugs in Patients Undergoing Class Ⅰ Incision Surgery in a Hospital
Objective:To analyze the prophylactic use of perioperative antibacterial drugs in patients undergoing Class Ⅰ incision surgery in a hospital,and provide reference for the standardized and rational use of antibacterial drugs in clinical perioperative patients.Methods:258 patients undergoing Class Ⅰ incision surgery admitted to Fengxin County People's Hospital from January 2021 to October 2022 were selected as the research subjects,and the information such as patient's age,sex,clinical diagnosis,department,and selection of antimicrobial drugs,timing of administration and medication course was collected,to analyze the characteristics of perioperative medication of antimicrobial drugs,and give comments on the rational drug use according to the Guiding Principles for Clinical Application of Antibacterial Drugs and other authority data.Results:Among 258 patients undergoing Class Ⅰ incision surgery,95(36.82%)had prophylactic use of antibacterial drugs during the perioperative period,with the highest the proportions in the orthopedics(35 cases,35.79%)and general surgery(25 cases,26.32%);among 95 patients,the main antibacterial drugs used were cefazolin(50 cases,52.63%)and clindamycin(15 cases,15.79%);the results of comments on the rational drug use showed that 7(7.37%)of 95 patients used drugs without indications,16(16.84%)were administered more than 2 hours or less than 0.5 hour before surgery,and 13(13.68%)had a medication course of more than 24 hours.Conclusion:The prophylactic use of perioperative antibacterial drugs in patients undergoing Class Ⅰ incision surgery in the hospital is generally reasonable,but there are still many problems in terms of indications,variety selection,timing of administration,and medication course.The hospital administrative department should strengthen the clinical training and management to reduce the occurrence of irrational drug use and ensure the medication safety for perioperative patients.
class Ⅰ incision surgeryperioperative periodantibacterial drugsrational drug use