• 中国核心期刊(遴选)数据库收录期刊
  • 中文科技期刊数据库收录期刊
  • 中国期刊全文数据库收录期刊
  • 中国学术期刊综合评价数据库统计源期刊等

快速检索引用检索图表检索高级检索

中国医药导刊 ›› 2022, Vol. 24 ›› Issue (3): 286-290.

• 管理与实践 • 上一篇    下一篇

2018—2020年某院Ⅱ类切口手术围手术期抗菌药物预防使用合理性分析

田璞玉,华素   

  1. 南阳市第一人民医院,河南 南阳 473000
  • 收稿日期:2021-12-15 修回日期:2022-03-07 出版日期:2022-03-26 发布日期:2022-03-28

Analysis on the Rationality of Prophylactic Use of Antibiotics in Perioperative Period of Class II Incision Surgery in a Hospital from 2018 to 2020

  1. Nanyang First People′s Hospital, Henan Nanyang 473000, China
  • Received:2021-12-15 Revised:2022-03-07 Online:2022-03-26 Published:2022-03-28

摘要: 目的:统计分析某院2018—2020年Ⅱ类切口手术围手术期抗菌药物的预防使用状况,旨在提高临床医生对Ⅱ类切口手术围术期抗菌药物预防性使用合理性的重视程度。方法:以所选抗菌药物种类、用药时机和给药疗程为重点考评因素,随机抽调某院2018—2020年Ⅱ类切口手术围手术期预防性使用抗菌药物的731份病例资料进行点评。结果:731例Ⅱ类切口手术全部预防性使用抗菌药物,品种的选择多以头霉素类、头孢菌素类+硝基咪唑类抗菌药物为主,二联用药主要见于子宫全切除术、输卵管部分切除术以及子宫肌瘤切除术等妇科手术;用药时机除耳鼻喉科手术术前大于60 min用药外,其余大部分都符合规定;妇科子宫全切除术、耳鼻喉科扁桃体切除术、外科腹腔镜下胆囊切除术等围手术期用药疗程相对较长,大多在3~7 d。结论:该院Ⅱ类切口手术围手术期抗菌药物预防性使用存在选择广谱抗菌药物、用药时机不当、用药疗程过长等不合理使用问题。医疗机构应提高对Ⅱ类切口手术预防性使用抗菌药物合理性的重视。

关键词: II类切口, 抗菌药物, 预防用药

Abstract: Objective:To statistically analyze the preventive appliction of antibiotics during the perioperative period of class Ⅱ incision surgery in a hospital from 2018 to 2020, so as to strengthen the attention of clinicians on the rational preventive use of antibiotics during the perioperative period of class Ⅱ incision surgery.Methods:The types of selected antibiotics, timing and duration of drug administration were used as the key evaluation factors, and 731 cases of perioperative prophylactic use of antibiotics in class Ⅱ incision surgery in a hospital from 2018 to 2020 were randomly selected for comment. Results: Antibacterial drugs were preventively used in all the 731 cases of type Ⅱ incision surgery. The antibacterial drugs selected were mostly cephamycins, cephalosporin antibiotics+nitroimidazoles, and two-drug combination therapy was mainly used in gynecological operations such as hysterectomy, fallopian tube excision and hysteromyomectomy.The timing of medication met the requirements except that the time of drug administration was more than 60 min before otolaryngology surgery.The perioperative medication courses of gynecological hysterectomy, otolaryngology tonsillectomy, surgical laparoscopic gallbladder resection were relatively long, which were 3~7 d. Conclusion: There were some irrational use problems such as selection of broad-spectrum antibiotics, improper timing of medication, and long treatment course of antibiotics in the perioperative period of class Ⅱ incision surgery in the hospital. Medical institutions should pay more attention to the rationality of prophylactic use of antibiotics in class Ⅱ incision surgery.

Key words: Class Ⅱ incision, Antibiotics, Prophylactic application

中图分类号: