目的：分析“和平方舟”医院船住院患者抗生素使用状况，为今后灾后医疗救助中的抗生素使用提供参考。方法采用回顾性调查方法统计2013年赴菲律宾人道主义医疗救助过程中“和平方舟”医院船住院患者使用抗生素的人数、种类、天数。结果共39例使用抗生素，其中围手术期用药16例、抗感染治疗23例。围手术期用药1～5 d，抗感染治疗用药1～8 d。第三代头孢菌素、哌拉西林＋β内酰胺酶抑制剂使用比例58．97％，第二代头孢菌素使用比例30．76％，第一代头孢菌素、青霉素钠使用比例10．25％，联合用药比例12．82％。结论灾后医疗救助活动，抗生素使用需求较一般医疗服务增多，围手术期抗生素使用指征应适当放宽。%Objective Analysis of antimicrobial treatment in the "Peace Ark"hospital ship , to provide reference about the application of antibiotics in the disaster medical assistance .Methods In this retrospective survey , we investigated the cases of patients who were given antibiotics , kinds of antibiotic agents and the duration of antibiotic therapy in the course of a disaster medical assis -tance in Phillipines 2013.Results A total of 39 cases of patients were given antibiotics , including 16 cases of perioperative period and 23 cases of anti-infection treatment .Duration of perioperative period medication was 1—5 days, and duration of anti-infection treatment was 1—8 days.The proportion of cases used cephalosporins of the third generation or piperacillin +βlactamases inhibitor was 58.97%, proportion of cases used cephalosporins of the second generation was 30.76%, proportion of cases used cephalosporin of the first generation or penicillin was 10.25%, furthermore,proportion of cases used combined antibiotics with 2 kinds agents was 12.82%.Conclusion The need of antibiotics was increased than the general medical service , besides , indication of antibiotics applications should be more flexible in the course of disaster medical assistance .
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