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目的:评价我院2014年骨科Ⅰ类切口手术围手术期预防使用抗菌药物合理性,为加强抗菌药物临床应用管理提供参考。方法:回顾性分析我院2014年1-6月骨科Ⅰ类切口手术患者围手术期预防使用抗菌药物情况。结果:调查骨科Ⅰ类切口手术共472例(其中有人工植入物手术318例,无人工植入物手术154例),围手术期抗菌药物预防使用率85.38%(其中有植入物手术预防使用率94.03%,无植入物手术预防使用率67.53%);抗菌药物品种选择合理率72.21%,给药时机合理率(术前0.5~2 h内给药)94.54%,剂量合理率76.67%;平均预防用药时间(3.28±1.94)天。结论:2014年我院骨科Ⅰ类切口手术围手术期不合理预防使用抗菌药物现象仍然存在,主要表现为预防使用率高、品种选择不合理、预防用药时间长、用药剂量大等,需加强管理,促进骨科Ⅰ类切口手术围手术期合理预防使用抗菌药物。
Objective: To evaluate the rationality of prophylactic use of antimicrobial agents during orthopedic surgery in Class Ⅰ 2014 in our hospital, and to provide reference for strengthening the clinical management of antimicrobial agents. Methods: A retrospective analysis of our hospital from January to June 2014 orthopedic class Ⅰ incision in patients with perioperative prevention of the use of antimicrobial agents. Results: A total of 472 orthopedic incisions were performed in our hospital (including 318 artificial implants and 154 non-artificial implants). The preventive rate of perioperative antibacterials was 85.38% The rate of rational use of antibacterial drugs was 72.21%. The reasonable timing of administration was 94.54% (given within 0.5 ~ 2 h preoperatively), and the reasonable dosage rate was 76.67% ; Average preventive medication time (3.28 ± 1.94) days. CONCLUSION: In our hospital, there is still some problems in the prevention and treatment of type I incision perioperative non-rational use of antimicrobial agents in 2014. The main manifestations are: high rate of prevention and treatment, unreasonable choice of products, long time of preventive medication and large dose of medication. Management should be strengthened , To promote orthopedic class Ⅰ incision surgery perioperative rational use of antimicrobial agents.