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目的通过调查安徽省妇幼保健院剖宫产围手术期抗菌药物的使用情况,评价其合理性,为临床合理应用抗菌药物提供依据。方法采用回顾性调查的方法对2012年3～8月份429例剖宫产患者应用抗菌药物的情况进行统计分析。结果剖宫产术后抗菌药物使用率为100%。使用频率前3位的抗菌药物为头孢硫脒、氟氯西林钠、阿莫西林钠氟氯西林钠;术后二联用药55例,占12.8%。结论本院剖宫产手术围手术期预防用抗菌药物存在不合理之处,医院应尽快完善抗菌药物使用管理规定,加大监管力度,保证患者用药安全,节约医药卫生资源。
Objective To investigate the use of antimicrobial agents during cesarean section in Anhui Province MCH and evaluate the rationality of antimicrobial agents in order to provide a basis for clinical rational use of antimicrobial agents. Methods A retrospective survey was conducted to analyze the use of antibacterials in 429 cases of cesarean section from March to August in 2012. Results Cesarean section antibacterial drug utilization was 100%. The first three frequencies of antibacterials used were cefathiamidine, flucloxacillin sodium and amoxicillin sodium flucloxacillin sodium; 55 cases were used in two groups after operation, accounting for 12.8%. Conclusions The perioperative prophylactic antimicrobial drugs in cesarean section in our hospital are unreasonable. The hospital should improve the management regulations of antimicrobial use as soon as possible, increase supervision and ensure the medication safety of patients and save medical and health resources.