安置起搏器术后感染及其预防使用抗菌药的调查分析.pdfVIP

www·zgys·org 药学与临床 安置起搏器术后感染及其预防使用抗菌药的调查分析 朱卫江1 刘金岩1 迪拉娜2 蒋玉凤1 (1．新疆自治区人民医院药学部乌鲁木齐830001；2．新疆医科大学药学院) 摘要 目的：探讨永久性心脏起搏器置入术后发生感染的相关因素及预防对策；调查心脏起搏器术后预防应用抗菌药情 者125例临床资料进行分析。结果：125例患者均使用了抗菌药，预防用药率100％，手术后预防用药时间为l～19d，其中用 药时间≤2d者26例(20．8％)，3～7d者70例(56％)，7 论：加深对起搏器感染并发症的了解，合理规范的使用抗菌药，可将并发症减少到最低限。 关键词起搏器；术后感染；抗菌药；合理用药 中图分类号：R978．1文献标识码：A 文章编号：1008艄9X(2010)12—1790_02 Infection after Pacemakerand on UtiUzationof CompKcationPlanting AnalysisProphylactic zhu of Autonomous Weijian91，LiuJinyanl，Di1ana2，JiangYufen91(1．People’sHospitalxinjiangUygllr Region，XinJiangUmmqi Medical 83000l，China；2．XirIJiaJlgUniversity) ABSTRACT theeausesofinfec“on after andthe objective：To investigate complicationplantingpermanencepacemakerPreventive in with andto the utilizationofan【ibacterials evaluate measure8；Toinvestigateperioperative patientsplantingpe珊anencepacemaker the oftheuseof was 25 with were from rationality antibacte“als．MetlIod：Retms|：)ectivelystudv used，lpatientspacemakeranalvzed 2005to antibacterialswereusedin after a儿cases(100％)，Time January July2009．Resun：Prophylaticagents surgeryprophyla)【is were were antibioticswithin2 werereceivedan“bioticswithin3—7 werere． l～19(1，26pa“ents received d，70patjents d，29patients ceivedantibioticsexceed occurredin1 l oc(：un．edin2 7d；Inf每c“oncomplication patients。0thercomplication oftheinfbction andrationaluseofantibacterialswould de(：reasetheinfection after derstanding c