类切口手术患者围手术期预防应用抗菌药物的合理性分析

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Ⅰ类切口手术患者围手术期预防应用抗菌药物的合理性分析

作者:魏蕾

来源:《中国实用医药》2016年第34期

【摘要】 目的 探讨Ⅰ类切口手术患者围手术期合理预防应用抗菌药物的干预效果。方法 1000例Ⅰ类切口手术患者, 将其分为干预前(2014年1月~2015年1月)和干预后(2015年2月~2016年2月), 各500例。分析干预前后的抗菌药物使用的合理性。结果 干预前围手术期预防性应用抗菌药物者324例(64.8%), 合理的用药品种232例(71.6%), 合理的用药时机271例(83.6%), 合理的用药疗程104例(32.1%), 平均使用抗菌药物时间为(3.25±3.45)d与干预后的198例(39.6%)、177例(89.4%)、179例(90.4%)、85例(42.9%)及(2.15±3.26)d比较, 差异有统计学意义(P 【关键词】 Ⅰ类切口手术;预防用药;干预措施 DOI:10.14163/j.cnki.11-5547/r.2016.34.003

Reasonable analysis on prophylactic application of antibacterial agents in perioperative operation patients with type Ⅰ incision WEI Lei. Jiangsu Province Peixian County People’s Hospital Central Pharmacy, Xuzhou 221600, China

【Abstract】 Objective To explore intervention effect of antibacterial agents rationally applied in perioperative operation patients with type Ⅰ incision. Methods A total of 1000 type Ⅰ incision

patients were divided into before intervention (January 2014~January 2015) and after intervention (February 2015~February 2016), with 500 cases in each stage. Reasonability of antibacterial agents application was analyzed before and after intervention. Results There were 324 cases

(64.8%) of perioperative prophylactic application of antibacterial agents before intervention, with reasonable drug varieties as 232 cases (71.6%), reasonable drug timing as 271 cases

(83.6%), reasonable drug course as 104 cases (32.1%), and mean antibacterial agents ues time as (3.25±3.45) d, which were all better than 198 cases (39.6%), 177 cases (89.4%), 179 cases (90.4%), 85 cases (42.9%) and (2.15±3.26) d before intervention, and differences had statistical significance (P

【Key words】 Type Ⅰ incision surgery; Prophylactic application; Intervention measures 据临床研究[1]Ⅰ类切口围手术期预防性应用抗菌药物准确可将手术的治疗效果增加, 并显著降低术后感染率。但临床上仍存在着过度使用的情况, 进而发生耐药菌株产生以及转移的情况, 使感染病症不能有效的控制[2-4]。本次就某院Ⅰ类切口患者围手术期抗菌药物的使用情况进行检测以及干预, 并取得了较为理想的效果, 现将全部的内容整理报告如下。

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