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目的:评价我院骨科患者围术期抗菌药物应用情况。方法:回顾性调查我院2008年骨科患者围术期抗菌药物的应用情况。结果:骨科300例患者围术期抗菌药物应用率达100%,应用最多的是克林霉素磷酸酯和头孢呋辛钠;术后超时应用抗菌药物者228例(76.00%),其中Ⅰ类切口手术术后用药时间>24h者161例(70.61%),Ⅱ类切口手术术后用药时间>2d者56例(24.56%),Ⅲ类切口手术术后用药时间>7d者11例(4.82%)。结论:骨科围术期抗菌药物应用存在给药方法不当、用药时间长等问题,需进一步规范。
Objective: To evaluate the perioperative antimicrobial application in orthopedic patients in our hospital. Methods: To retrospectively investigate the application of perioperative antibiotics in orthopedic patients in our hospital in 2008. Results: The application rate of perioperative antibacterials was 100% in 300 cases of orthopedics, and clindamycin phosphate and cefuroxime sodium were the most frequently used; 228 cases (76.00%) were applied antibacterial drugs after the time-out, in which type Ⅰ There were 161 cases (70.61%) who underwent incision operation within 24 hours and 56 cases (24.56%) who underwent operation Ⅱ> Ⅱd after operation, 11 cases (4.82% ). Conclusion: There are some problems in the application of antimicrobial agents during orthopedic surgery, such as improper methods of administration, long duration of medication and so on, which need to be further regulated.