首页|某院Ⅰ类切口手术患者围术期抗菌药物的预防使用情况分析

某院Ⅰ类切口手术患者围术期抗菌药物的预防使用情况分析

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目的:分析医院Ⅰ类切口手术患者围术期抗菌药物的预防使用情况,为临床围术期患者抗菌药物的规范合理使用提供参考。方法:选取 2021 年 1 月—2022 年 10 月奉新县人民医院收治的 258 例Ⅰ类切口手术患者作为研究对象,采集患者的年龄、性别、临床诊断、所在科室,以及抗菌药物的品种选择、给药时机和用药疗程等信息,分析患者围术期抗菌药物的用药特点,并依据《抗菌药物临床应用指导原则》等权威资料对其进行合理用药点评。结果:258 例Ⅰ类切口手术患者有 95 例(占 36。82%)在围术期预防性使用了抗菌药物,其中骨科(35 例,占35。79%)和普外科(25 例,占 26。32%)的占比最高;在 95 例患者中,主要选用的抗菌药物品种有头孢唑林(50 例,占 52。63%)和克林霉素(15 例,占 15。79%);合理用药点评结果显示,95 例患者中,有 7 例(占 7。37%)存在无适应证用药的情况,有 16 例(占 16。84%)的给药时机为术前>2h或<0。5 h,有 13 例(占 13。68%)存在用药疗程>24 h的情况。结论:医院Ⅰ类切口手术患者围术期抗菌药物的预防使用整体较为合理,但在适应证把握、品种选择、给药时机和用药疗程等方面仍有不少问题,医院行政管理部门应加强对临床的培训和管理,以减少不合理用药情况的发生,确保围术期患者的用药安全。
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

张谦

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奉新县人民医院骨科,江西 奉新 330700

Ⅰ类切口手术 围术期 抗菌药物 合理用药

2024

抗感染药学
江苏省苏州市第五人民医院

抗感染药学

影响因子:0.505
ISSN:1672-7878
年,卷(期):2024.21(1)
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