| 引用本文: | 杜立峰,梁震野,许东航.肿瘤外科住院患者围术期抗菌药物使用调查[J].中国现代应用药学,2010,27(12):1138-1140. |
| .Analysis of Perioperative Antibacterial Usage in Surgical Oncology Patients[J].Chin J Mod Appl Pharm(中国现代应用药学),2010,27(12):1138-1140. |
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| 摘要: |
| 目的 了解某三级医院肿瘤外科住院患者围手术期抗菌药物的使用情况，评价其合理性。方法 设计调查表，检查某三级医院某日现住院肿瘤外科一病区全体住院患者住院病历。共收集25份已手术病历，统计抗菌药物使用情况，并进行分析。结果 25份病例中，Ⅰ类、Ⅱ类和Ⅲ类切口分别为7例、17例和1例。对Ⅰ类切口抗菌药物的选择、抗菌药物的使用时间已基本规范，但Ⅱ类和Ⅲ类切口在抗菌药物的选择、抗菌药物的使用时间等与指南还存在差距。抗菌药物病历书写规范尚需进一步加强。结论 应该加强对Ⅱ类和Ⅲ类切口的围手术期抗菌药物使用和病历书写规范教育。 |
| 关键词: 围手术期 抗菌药物 肿瘤外科 调查 |
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| Analysis of Perioperative Antibacterial Usage in Surgical Oncology Patients |
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DU Lifeng1 LIANG Zhenye1 XU Donghang2*
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| Abstract: |
OBJECTIVE To investigate the current application of perioperative antibacterial usage in surgical oncology patients so as to provide the information for rational clinical use. METHODS The questionnaire was designed, and the current medical records in surgical oncology were collected. Twenty-five pediatric medical records were selected and the data was analyzed in respect to the use of antibacterials and the rationality of use. RESULTS Among them, 7 cases, 17 cases and 1 case were type Ⅰ, Ⅱ and Ⅲ incision. The selection of antibacterial and the course of treatment in type Ⅰ incision were suitable according to guideline. But in type Ⅱ and Ⅲ incision, there are differences between current clinical practice and application of guidelines in China. There were defective in medical records. CONCLUSION It is very important to strengthen standardized administration of perioperative antibacterial usage in type Ⅱ and Ⅲ incision. It is also important to pay attention to the standard of medical record. |
| Key words: perioperative antibacterial tumor surgery rational drug use |
