【摘要】：目的:為兒科Ⅰ類切口手術(shù)圍術(shù)期預(yù)防使用抗菌藥物提供參考。方法:回顧性分析2014年1-6月2 893例Ⅰ類切口手術(shù)患兒圍術(shù)期預(yù)防使用抗菌藥物情況,評(píng)估專項(xiàng)整治效果,并總結(jié)經(jīng)驗(yàn)教訓(xùn)。結(jié)果:2 893例患兒圍術(shù)期預(yù)防使用抗菌藥物率為19.56%,術(shù)后切口感染病例發(fā)生率為0.21%,預(yù)防使用抗菌藥物主要涉及第一、二、三代頭孢菌素和青霉素類及氧頭孢烯類;預(yù)防用藥時(shí)間多在術(shù)前2 h以內(nèi),少量在2~24 h和術(shù)后24 h。結(jié)論:Ⅰ類切口手術(shù)圍術(shù)期預(yù)防使用抗菌藥物仍然存在一定不合理性,但較整治前有了較大幅度的改善,抗菌藥物專項(xiàng)點(diǎn)評(píng)等技術(shù)層面及醫(yī)院行政管理層面的干預(yù)措施共同推動(dòng)了抗菌藥物合理使用。
[Abstract]:Objective: to provide a reference for the perioperative prevention of antimicrobial agents in pediatrics. Methods: a retrospective analysis of 2893 cases of perioperative antimicrobial use in children with type I incision operation from January to June 2014 was made to evaluate the effect of special treatment and to sum up the experience and lessons learned from the prevention and use of antimicrobial agents in the perioperative period. Results: the rate of prophylactic use of antibiotics was 19.56 in 2 893 children during perioperative period, and the incidence of postoperative wound infection was 0.21. The prevention and use of antimicrobial drugs were mainly related to the first and second. Third generation cephalosporins penicillin and oxycephalene; The time of prophylaxis was less than 2 hours before operation, a little within 24 hours before operation and 24 hours after operation. Conclusion: the prophylactic use of antimicrobial agents in the perioperative period of type 鈪，

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