【摘要】：目的:了解南通市7家醫(yī)院胸外科圍術(shù)期預(yù)防性使用抗菌藥物的情況,為患者臨床合理用藥提供參考。方法:選取南通市7家"三級"醫(yī)院2015-2016年行胸外科手術(shù)的出院患者6652例進行回顧性分析。統(tǒng)計患者的性別、年齡、住院時間、術(shù)前用藥情況、用藥時機、切口分類、手術(shù)時間、藥物名稱、用法用量、給藥途徑、聯(lián)合用藥、預(yù)后情況等。根據(jù)整治活動相關(guān)規(guī)定和圍術(shù)期抗菌藥物使用原則對抗菌藥物預(yù)防性使用的合理性進行評價。結(jié)果:6652例患者中,Ⅰ類切口共有2761例,Ⅱ類切口共有3891例,全部使用了抗菌藥物。初次預(yù)防用藥時機在術(shù)前0.5～2h的共有5282例,占79.40%;術(shù)前2h以上或術(shù)后給藥的有1370例,占20.60%。預(yù)防用藥48h以內(nèi)的有1070例,占16.09%;超過48h的有5582例,占83.91%。單用一種抗菌藥物的有5702例,兩聯(lián)用藥的有950例。共有6342例患者不合理使用抗菌藥物,占95.34%。使用的抗菌藥物共涉及八大類15個品種,使用最多的為β-內(nèi)酰胺類/β-內(nèi)酰胺酶抑制劑、氟喹諾酮類和氧頭孢烯類。結(jié)論:專項整治后,南通市7家醫(yī)院胸外科預(yù)防性使用抗菌藥物仍存在諸多不合理現(xiàn)象,部分指標(biāo)超出國家規(guī)定,仍需進一步管理和改進。
[Abstract]:Objective: to investigate the prophylactic use of antimicrobial agents in thoracic surgery in 7 hospitals of Nantong City. Methods: 6652 patients who underwent thoracic surgery in 7 "3" hospitals in Nantong from 2015 to 2016 were retrospectively analyzed. Sex, age, hospitalization time, preoperative medication, time of medication, incision classification, operation time, drug name, dosage, route of administration, combined use, prognosis, etc. The rationality of prophylactic use of antimicrobial agents was evaluated according to the relevant regulations of remediation activities and the principles of perioperative use of antimicrobial agents. Results 2761 cases of type 鈪，

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