CAJ | 학술논문

目的：了解我院目前Ⅰ类切口手术预防抗菌药物现状，为外科临床合理用药提供参考。方法随机抽取我院2014年10-12月外科病区中出院的1231例Ⅰ类切口患者预防使用抗菌药物情况，进行合理性使用统计分析。结果1231例Ⅰ类切口手术中预防使用抗菌药物的有298例，抗菌药物预防使用率24.2%。不合理用药主要表现在预防使用抗菌药物无指征、预防使用抗菌药物品种不适宜、给药疗程和给药时机不适宜等方面。结论我院外科病区Ⅰ类切口手术预防抗菌药物存在不合理使用的情况，建议医院加强Ⅰ类切口手术预防抗菌药物使用管理，避免过度使用，促进临床合理用药。
목적：료해아원목전Ⅰ류절구수술예방항균약물현상，위외과림상합리용약제공삼고。방법수궤추취아원2014년10-12월외과병구중출원적1231례Ⅰ류절구환자예방사용항균약물정황，진행합이성사용통계분석。결과1231례Ⅰ류절구수술중예방사용항균약물적유298례，항균약물예방사용솔24.2%。불합리용약주요표현재예방사용항균약물무지정、예방사용항균약물품충불괄의、급약료정화급약시궤불괄의등방면。결론아원외과병구Ⅰ류절구수술예방항균약물존재불합리사용적정황，건의의원가강Ⅰ류절구수술예방항균약물사용관리，피면과도사용，촉진림상합리용약。
[ABSTRACT]OBJECTIVE To analyze the prophylactic antimicrobials in patients with type I incision operation and provide a rational drug use reference for clinical surgery.METHODS Case history of 1231 patients with type I incision operation who discharged from hospital from October to December 2014 were investigated and analyzed. RESULTS 298 cases of 1231 patients used prophylactic antimicrobials, accounted for 24.2%. There existed irrational drug use, such as prophylactic medicine without evidence, unsuitable opportunity and course or unreasonable selection of antimicrobials.CONCLUSION There are many irrational prophylactic antimicrobial use in our surgical departments;the hospital should establish a rational prophylactic antimicrobial use standard and specification to avoid excessive drug use.