CAJ | 학술논문

目的：评价某院Ⅰ类切口手术围术期预防性应用抗菌药物情况。方法：随机抽取该院2012年的Ⅰ类切口手术患者病历，分析其预防性应用抗菌药物的合理性。结果：672例患者中，有602例术前预防性应用抗菌药物，均在术前0.5～2 h内给药。术后停药合理和基本合理529例（占78.7％），不合理179例（占26.7％）。结论：该院应进一步加强Ⅰ类切口手术围术期预防性应用抗菌药物的管理，严格遵循《抗菌药物临床应用指导原则》。
목적：평개모원Ⅰ류절구수술위술기예방성응용항균약물정황。방법：수궤추취해원2012년적Ⅰ류절구수술환자병력，분석기예방성응용항균약물적합이성。결과：672례환자중，유602례술전예방성응용항균약물，균재술전0.5～2 h내급약。술후정약합리화기본합리529례（점78.7％），불합리179례（점26.7％）。결론：해원응진일보가강Ⅰ류절구수술위술기예방성응용항균약물적관리，엄격준순《항균약물림상응용지도원칙》。
OBJECTIVE:To evaluate the perioperative use of prophylactic antibiotios in patients undergoing type Ⅰ incision operation in a hospital. METHODS:672 medical records of patients undergoing typeⅠincision operation in the hospital in 2012 were randomly sampled for analysis regarding the rationality of the prophylactic use of antibiotics. RESULTS:Of the 672 cases,602 received prophylactic antibiotics,with all administered 0.5-2 hrs before operation. Rational or basically rational in postoperative withdrawal of antibiotics was noted in 529 cases(78.4%)versus irrational in 179 cases(26.7%). CONCLUSIONS:It is important to tighten management on perioperative use of prophylactic antibiotics in patients undergoing type Ⅰ incision operation in this hospital and strictly follow the Guiding Principle on Clinical Use of Antibiotics.