我院乳腺手术患者围手术期抗菌药物预防应用的调查分析.PDFVIP

我院乳腺手术患者围手术期抗菌药物预防应用的调查分析 孙祝生 1 2 3 ，孙国辉 ，赵旭 (1.新疆医科大学第五附属医院肿瘤中心，乌鲁木齐 830011 ；2.新疆医科大学第二附属医院肿瘤科，乌鲁木齐 830028；3.新疆医科大学药学院，乌鲁木齐 830000) 摘要：目的 了解我院乳腺手术患者围手术期抗菌药物使用状况及合理性。方法 对我院 2009 年 1 月—12 月间 138 例 乳腺手术患者围手术期抗菌药物应用进行回顾性研究。结果 无明确指征预防使用抗菌药物的比例占 71.74% ，患者使用 抗菌药物用于术后感染时间合理的比例占 61.62% ，其中术后预防用药超过 72 h 的比例为 38.38%。此外预防使用头孢呋 辛单剂量过大的比例为 82.85% ，阿洛西林溶媒选择错误的比例为 100%。结论 乳腺手术患者围手术期抗菌药物预防应 用存在着不合理的状况，应加强抗菌药物的管理，增强医务人员正确使用抗菌药物的意识。 关键词：乳腺手术；围手术期；抗菌药物；合理用药 中图分类号：R969.3 文献标志码：B 文章编号：1007-7693(2010)13-1228-03 Research and Analysis of Preventive Application of Antibacterial Medicine for Breast Surgery Patient during Perioperative Period 1 2 3 SUN Zhusheng , SUN Guohui , ZHAO Xu (1.Department of Pharmacy, Fifth Affiliated Hospital, Xinjiang Medical University, Urumqi 830011, China ；2.Department of Pharmacy, Second Affiliated Hospital, Xinjiang Medical University, Urumqi 830028, China；3.College of Pharmacy, Xinjiang Medical University, Urumqi, 830000, China) ABATRACT: OBJECTIVE To study the use of antibacterial medicine during perioperative period for breast surgery patient and the analysis of its rationality. METHODS Carry out retrospective study of antibacterial medicine application for 138 cases of breast surgery patient during their perioperative period between January and December 2009 in our hospital. RESULTS 71.74% of the antibacterial drug application cases were without clear target. Use of antimicrobial agents in patients who with infection after the time for a reasonable proportion of 61.62%. 38.38% of these cases had post operation drug use period longer than 72 hours. In addition, 82.85% of the cases had excessive dosage of Cefur