OBJECTIVE: To provide reference for perioperative rational prophylactic application of antibacterials in type Ⅰ incision operation. METHODS: 4 201 patients underwent type Ⅰ incision operation were collected from a class A grade three hospital during Mar. 2013-Feb. 2015. The perioperative prophylactic application of antibacterials in type Ⅰ incision operation were analyzed statistically. RESULTS: Of 4 201 patients underwent type Ⅰ incision operation, there were 2 399 cases of prophylactic application of antibiotics (accounting for 57.10%). Cephalosporins and β-lactam/β-lactamase inhibitor were the main classes of antibacterials for preventive use, accounting for 45.60% and 19.76%, respectively. The frequency of using cefazolin, ceftriaxone and amoxicillin-clavulanic acid ranked the top 3 places, among which there was 823 cases of unsuitable prophylactic medication time (34.31%), and 855 cases of prophylactic medication time >48 h (accounting for 35.64%). CONCLUSIONS: There still is unreasonable perioperative prophylactic application of antibacterials in type Ⅰ incision operation in this hospital. It is necessary to strengthen the supervision of antibacterials and conduct regular rational antibacterials use seminars in order to promote rational use of antibacterials.
关键词
Ⅰ类切口手术围术期抗菌药物预防用药合理用药
Keywords
Type Ⅰ incision optrationPerioperativeAntibacterialsProphylactic medicationRational drug use