我院3种I类切口手术预防用抗菌药物调查分析

目的: 评价我院3种I类切口手术预防用抗菌药物的合理性。方法: 随机抽查我院2011年9~12月甲状腺手术、乳腺手术、腹股沟疝修补术3种I类切口手术病历各120例,并进行回顾性调查分析。结果: 360例病历中,预防用抗菌药物75.8%,其中有预防用药指征 31.9%;预防用药时机合理 71.4%;溶媒体积以 250 mL 为主。结论: 我院3种I类切口手术抗菌药物应用存在预防用药指征低、溶媒体积偏大等问题,应针对存在问题采取必要干预措施,促进合理使用。

Analysis on prophylactic antibiotics use in three kinds of type I incision operation

AIM: To investigate the ratio of prophylactic antibiotics in three kinds of type I incision operation.METHODS: Each 120 cases including thyroid surgery, breast surgery, inguinal herniorrhaphy from September to December in 2011 were analyzed.RESULTS: In the 360 cases, the ratio of antibiotics was 75.8%, the ratio of indication of prophylactic was 31.9%, the indication of prophylactic use timing is reasonable accounted for 71.4%.The main volume of solvent was 250 mL.CONCLUSION: There are main problems that the indication of prophylactic is low, the volume of solvent is too large in prophylactic antibiotics use in three kinds of type I incision operation. Some necessary intervention should be taken in order to promote the rational use of antibiotics.