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产科围手术期抗菌药物临床应用分析

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目的:了解某院产科围手术期抗菌药物临床应用情况,评价合理性,为临床用药提供参考。方法随机抽取2012年6-12月某院产科围手术期病例370份,对抗菌药物预防使用率、会阴侧切术后使用率、断脐后未预防用药率、药物选择、药物利用指数、药物联合、药物应用疗程进行统计分析。结果抗菌药物使用率71.62%,会阴侧切术用药比例10%,断脐后未用药比例19.93%,药物选择以头孢唑啉为主占76.98%,药物利用指数头孢唑啉、奥硝唑>1、药物联合率低二联占10.94%,应用疗程大于48h 比例52.83%。结论应继续加强产科围手术期抗菌药物监管,规范某院产科抗菌药物临床合理使用水平。
Analysis of Perioperative Use of Antibiotics for Patients in Obstetric Wards of My Hospital
Objective To investigate the perioperative use of antibiotics for patients in obstetric wards of my hospital for providing a reference for clinical. Methods Extracted 370 obstetric perioperative cases from June to December 2012 in our hospital, statistics and analysis these data which including antimicrobial prophylaxis usage, after episiotomy usage, not prophylaxis after umbilical ratedrug selection, DUI, drug combination and drug use treatment. Results The antimicrobial utilization account 71.62%, the proportion of drug in episiotomy is 10%, 19.93% patient is untreated drug off the umbilical cord after, drug selection to cefazolin mainly account for76.98%, DUI cefazolin, Ornidazole>1, drug combination rate account for 10.94%, application courses exceed 48 hours account for 52.83%. Conclusion Continue to strengthen supervision of antibiotics , standardize level of rational use of Antimicrobial drugs in obstetrics.

Caesarean sectionLateral episiotomyAntibioticsPerioperative

王锐锐、薛傲霜、孙红霞、吴伟华

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475000 河南省开封市妇产医院药剂科

剖宫产手术 会阴侧切术 围手术期 抗菌药物

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(24)
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