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

Research and Analysis of Preventive Application of Antibacterial Medicine for Breast Surgery Patient during Perioperative Period

关键词:  乳腺手术  围手术期  抗菌药物  合理用药

Key words:  breast surgery  perioperative period  antibacterial medicine  rational use of drugs

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。

Abstract:

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 Cefuroxime sodium. In call cases, the choices of solvent for Azlocillin sodium are wrong. CONCLUSION Irregular application of antibacterial medicine for breast surgery patients during their perioperative period exists. Management of antibacterial medicine needs to be strengthened and awareness of proper application of antibacterial medicine among medical professionals needs to be raised.