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目的:了解我院外科小儿清洁手术围术期预防性应用抗菌药物情况,评价其用药的合理性。方法:回顾性调查我院外科2009年11月至2010年11月577例清洁手术病例预防性应用抗菌药物情况。结果:577例病例中,抗菌药物预防性应用率达100%;采用术前0.5～2 h给药者577例次,占100%,其中累计应用抗菌药物时间最短者为24 h,最长者达7 d。预防性应用抗菌药物涉及3类7种,其中青霉素类350例次(60.66%),头孢菌素类222例次(38.48%)。结论:我院小儿清洁手术围术期抗菌药物使用存在使用率高、用药时间过长、抗菌药物选择档次偏高等问题,清洁手术围术期抗菌药物的合理使用有待规范。
OBJECTIVE: To understand the perioperative prophylactic use of antimicrobials in pediatric surgical pediatric surgery and evaluate its rationality. Methods: A retrospective survey of surgical treatment in our hospital from November 2009 to November 2010 577 cases of clean surgical prophylactic use of antimicrobial agents. Results: Among 577 cases, the prophylactic rate of antimicrobial agents was 100%. 577 cases were preoperative 0.5 to 2 hours, accounting for 100% of the total. Among them, the shortest time for using antimicrobial drugs was 24 hours, the longest Up to 7 days. There are 7 types of prophylactic antibacterials in 3 categories, including 350 cases of penicillin (60.66%) and 222 cases of cephalosporins (38.48%). Conclusion: The use of antibacterials during perioperative period in pediatric patients with clean operation has the problems of high usage rate, long medication time and high grade of antibacterial drugs. Rational use of perioperative antibacterials remains to be standardized.