Investigation and analysis of prophylactic use of antibiotics in peioperative patients with typeIincision

Abstract

Objective To analyze the surgical incisionⅠclass perioperative use of antibiotics prophylaxis of basic situation and the existing problems. Methods In surgicalⅠincision surgery,1 250 cases with perioperative preventive use of antibiotics in this research,and the rationality and evaluation were analyzed. Results Surgical incisionⅠclass indications perioperative prophylactic use of antibiotics was not reasonable proportion was 89.92%.The structure of the use of antibiotics category than from high to low were:cephalosporins,beta lactamase inhibitor,penicillin,fluoroquinolone,cephalosporins compound preparations,large ring lactone class.Perioperative prophylactic use of antibiotics, 17.52%patients with preoperative prophylactic medication time was not reasonable,79.12%of patients postoperative prophylactic medication time was not reasonable,12.24%of patients in supplementary treatment for unreasonable,10.80%patients with unreasonable combination,64.96%of patients dosing frequency was not reasonable. Conclusion Surgical incisionⅠclass perioperative had antibiotics prophylaxis had some disadvantages in drug selection,medication time,unreasonable combination and so on,non-standard situation was common,so it should strengthen the enforcement of perioperative antibiotic use standard,strengthen management,standardize their use. Key words: Perioperative; Antibiotics; Survey; Analysis; Surgical