Analysis on the Rationality of Prophylactic Use of Antibiotics during the Perioperative Period of Class I Incisions
Objective To analyze the rationality of prophylactic use of antibiotics during the perioperative period of Class I incisions in Puyang Oilfield General Hospital,and to provide a reference for subsequent clinical management of antibiotics.Methods A total of 635 patients who underwent Class I incision surgery in Puyang Oilfield General Hospital from January 2023 to June 2023 were selected as the subjects of this study.The therapeutic effect of antibiotics received by patients undergoing Class I incision surgery during the perioperative period was retrospectively analyzed.Results Among the 635 patients with Class I incision surgery included in this study,214 patients used antibiotics.The prophylactic use of antibiotics during the perioperative period of Class I incision patients in each department was analyzed.The use of antibiotics in patients in the spine surgery department accounted for 66.04%,neurosurgery accounted for 64.00%,and hand,foot and trauma orthopedics accounted for 50.90%;no antibiotics were used in thyroid vascular surgery,breast surgery,hernia and abdominal wall surgery,and urology,the difference was statistically significant(P＜0.05).The types of antibiotics used during the perioperative period of Class I incisions were mainly first and second generation cephalosporins,mainly administered intravenously.A total of 7 kinds of antibiotics were used,among which cefazolin accounted for 59.35%,cefuroxime accounted for 26.17%,the difference was statistically significant(P＜0.05);the rational use rate of antibiotics was 86.45%,the irrational use rate was 13.55%,mainly due to prophylactic medication without indications and over-course medication,the difference was statistically significant(P＜0.05).Conclusion The prophylactic use of antibiotics during the perioperative period in patients undergoing Class I incision surgery in our hospital is mostly rational,but there are still a small part of irrational situations,so intervention should be strengthened to ensure the rational use of antibiotics,improve the rationality rate of antibiotics,and ensure the safety of patients'medication.
class I incisionperioperative periodantibioticsrationality
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