Objective To understand the prophylactic administration of antibiotics during perioperative period in pediatric herniorrhaphy in Xi' an Children' s Hospital and complete pharmaceutical monitoring. Methods The records of prophylactic administration of antibiotics in pediatric herniorrhaphy from September 2008 to November 2011 were retrospectively sampled in Xi an Children s Hospital. Results The prophylactic administration rate of antibiotics of the 729 cases was 100. 0%. The longest duration of administration was 7 days and the shortest was 24h. Ten categories of antibiotics were used, and penicillins dominated the first place ( 403,55. 3% ), followed by cephalosporins ( 332,44. 1% ). Conclusion The major problems in antibiotics administration during perioperative period are excessive use and long duration. After pharmaceutical monitoring, the administration of antibiotics during perioperative period of pediatric herniorrhaphy has been significantly improved.%目的 了解西安市儿童医院外科小儿清洁手术围术期预防性应用抗菌药物情况,做好临床药学监护.方法 回顾性抽查西安市儿童医院外科2008年9月至2011年11月小儿腹外疝手术患儿预防性应用抗菌药物情况.结果 729例患儿中,抗菌药物预防性应用率达100.0%;其中累计应用抗菌药物时间最短者为24h,最长者达7d.预防性应用抗菌药物涉及3类10种,其中青霉素每次403例(55.3%),头孢菌素类每次322例(44.1%).结论 小儿清洁手术围术期抗菌药物使用中存在使用率高、用药时间过长等问题,通过开展药学监护后,腹外疝手术患儿围术期抗菌药物的合理性已有所提高.
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