956例手术患者围术期预防性应用抗菌药物分析.pdfVIP

孙丽4，阙汀贤，王宾，魏旭(广州医学院附属深圳沙井医院药剂科，广东深圳518104) 中图分类号R978．1 文献标志码B 文章编号1672—2124(2012)10—0906—03 摘要 目的：了解我院围术期预防性应用抗茵药物的情况并对其合理性进行分析，为临床合理用药提供参考。方法：采用回顾 种，使用最多的为头孢菌素类。不合理用药主要表现为无指征用药、选药不正确、用药疗程持续过长、联合用药不合理、未按药动 学特征分次给药等。结论：我院围术期抗菌药物预防性应用存在不合理现象，应引起重视，加强管理，规范抗茵药物合理使用。 关键词 围术期；预防性应用；抗菌药物；应用分析 Utilizationof of956CasesA Perioperative ProphylacticAntimicrobials：Analysis SUN Bin，WEI Li+，QUETing—xian，WANGXu(Dept．ofPharmacy，ShenzhenShajing Affiliatedto Medical Shenzhen518104，China) GuangzhouUniversity，Guangdong ABSTRACT thestatus and ofthe useof OBJECTIVE：To investigate quo rationalityperioperative antibioticsinour forclinicalreferenceofrational case hospital druguse．METHODS：Byretrospectivelystudy，the recordsof956 fromour of2011 were and with patientsdischargedhospitalduringJan．一Dec．period surveyedanalyzed to useof thetotal956 antibiotics．RESULTS：Of regardperioperativeprophylactic cases，93 totaled10 in32 usedmost antimicrobials，whichcategorieskinds，withcephalosporins prophylactic usemanifestedasantibioticuse choiceof irrational drug mainly beyondindication，improper courseof combinationandfailuretofollow feature—baseddivideddose treatment，irrationaldrug pharmacokinetie attentionshouldbeattachedtotheirrational useof etc．CONCLUSION：Great regimen perioperative antibioticsinour itis to controlonuseofantibioticstoachievestandardandrational hospital，andu