OBJECTIVE: To analyze the application of antibiotics in type I incision surgery in our hospital during periopera-tive period. METHODS: 954 cases of type I incision surgery were randomly chosen from our hospital during Apr. -Sept. In 2011. The utilization of antibiotics was analyzed. RESULTS: Among 954 surgery inpatients, 793 patients were given prophylactic application of antibiotics, and the utilization rate of antibiotics was 83.1%. They were given drugs 0.5~2 h before surgery. Drug withdrawal of 744 patients was reasonable basically after surgery (78.0%). 83 patients were given antibiotics after surgery rather than before surgery and drug withdrawal time was more than 48 h, who accouting for 8.8% were unreasonable cases. CONCLUSION: Clinicians should strengthen the management of antibiotics in our hospital during perioperation period and follow the regulations of Ministry of Public Health and Guidance for Clinical Use of Antibiotics strictly so as to standardize drug use.%目的:了解社区获得性肺炎(CAP)患者的抗菌药物应用情况.方法:对某院2010年7月-2011年6月378例CAP住院患者的基本资料、细菌培养及药敏试验、抗菌药物应用情况等进行回顾性分析.结果:所调查的CAP患者主要为老年患者,多有合并基础疾病,合并基础疾病种类平均为2.35种,药敏试验率为70.11％,抗菌药物种类应用例数排序列前3位的分别为氟喹诺酮类、头孢菌素类、大环内酯类.结论:该院CAP患者的临床治疗用药存在着不合理现象,需进一步采取相关措施予以改进.
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