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目的调查我院外科病区Ⅰ类切口手术预防性使用抗菌药物情况及合理性。方法随机抽取70例一类切口手术患者病例,对其用药类别、用药时间、联合用药等情况进行统计分析。结果Ⅰ类切口手术预防性应用抗菌药物为98.41%,平均用药时间为3.55 d,术前用药20例,术后用药49例,使用一种抗菌药物的56例,联合用药的10例,合理使用占20.84%,不合理用药占52.28%,基本合理占26.88%。结论我院Ⅰ类切口手术预防性应用抗菌药物存在指征把握不严,用药种类不当及用药时间过长等问题,急需加强监管。
Objective To investigate the situation and rationality of prophylactic use of antibacterials in surgical incision of type Ⅰ in our hospital. Methods A total of 70 patients undergoing a series of incision surgery were enrolled in this study. Statistical analysis was carried out on the types of drugs used, the duration of drug use and the combination therapy. Results Ⅰ type of incision surgery prophylactic use of antibacterial drugs was 98.41%, the average medication time was 3.55 d, 20 cases of preoperative medication, 49 cases of postoperative medication, 56 cases of an antimicrobial agent, combination of 10 cases, the rational use of Accounting for 20.84%, irrational use of drugs accounted for 52.28%, accounting for 26.88% of the basic reasonable. Conclusion Class I incision in our hospital prophylactic use of anti-bacterial drugs indications laxity, inappropriate medication and medication time is too long and other issues, the urgent need to strengthen supervision.