3类先天性心脏病介入治疗手术围手术期预防用抗菌药物分析.pdfVIP

中国抗生素杂志2014年11月第39卷第11期 861 3类先天性心脏病介入治疗手术围手术期预防用抗菌药物分析 邓宁桂彬成晨朱秀琪+ (宁夏医科大学总医院心脑血管病医院，银川750002) 摘要：目的 研究某院3类先天性心脏病：房间隔缺损、室间隔缺损、动脉导管未闭的介入治疗手术预防用抗菌药物的情 况，评价合理性。方法 3位的药物是头孢替唑、头孢硫脒、头孢美唑，选用最多的是第一代头孢菌素类占79．8％。术后未见继发感染的病例，预防用抗 物通过专项整治活动，基本合理，调查数据为临床路径的实施提供了参考数据。 关键词：抗菌药物；介入封堵术；围手术期；预防用药 中图分类号：R978文献标志码：A of for useantibacterialsthree of Perioperativeprophylactic types of heartdiseases therapycongenital ChenandZhu Deng Bin，Cheng Xiu—qi Ning，Gui VascularDisease affiliatedGeneral XiaMedical (Cardio·cerebral Hospital HospitalofNing University，Yinchuan750002) Abstract To useofantibacterialsin3 oftranscatheterclosure：atrial 0bjectivestudyprophylactic types septal ductus evaluateits defect(ASDl、ventricularseptaldefect(VSD)、patentarteriosus(PDA)，and The was asa onefrom 2011to 13．217casesof research designedretrospectiveJuly September,20 heart were The of usewas of diseases therapycongenital statisticallyanalyzed．Resultspercentageprophylactic at30min-2hbefore medicationdurationwas1．26 98．2％．100％of werereceived patients surgery．Theaverage uesd kinds ofantibacterialswere of9 of thefirst was d(36h)．5categories involving agents，dominatingplace utilizationrateofthe