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目的:分析Ⅰ类切口手术围手术期患者抗菌药物的使用情况,评价其用药合理性。方法:选取2014年9月间符合遴选标准的Ⅰ类切口手术病例55例,采用人均限定疗程方法对其进行抗菌药物合理性使用测评。结果:Ⅰ类切口手术围术期患者抗菌药物使用率为43.64%,抗菌药物平均使用时间为3.44 d,部分品种抗菌药物人均限定疗程过长(疗程>2 d)。结论:Ⅰ类切口手术围手术期患者抗菌药物使用的突出问题是疗程长、选药起点高,应制订合理的干预措施来优化抗菌药物的使用,人均限定疗程可较好地评价其用药合理性。
Objective: To analyze the use of antimicrobial agents in perioperative patients with type Ⅰ incision and evaluate its rationality. Methods: A total of 55 cases of type Ⅰ incision were selected in accordance with the selection criteria from September 2014 to September of this year, and the rational use of antimicrobial agents was evaluated by per capita treatment course. Results: The average usage time of antibacterials was 43.64% during the perioperative period and 3.44 days for antibacterials. The average duration of treatment for some antibacterials was longer (duration> 2 days). CONCLUSION: The prominent problems of antimicrobial use in perioperative patients with type Ⅰ incision are long course of treatment and high starting point for drug selection. Appropriate intervention measures should be formulated to optimize the use of antimicrobial agents. Per capita duration of treatment can better evaluate the rationality of its use .