Prophylactic antibiotics for the patients in type I incision operation / 国际外科学杂志

ABSTRACT

Objective To survey the usage of prophylactic antimicrobial agents for the patients in type Ⅰ incision operation and provide reference for rational use of antibiotics clinically. Methods 456 surgical ca-ses of type Ⅰ incision operation were selected among the surgical patients discharged from department of gen-eral surgery, department of orthopaedics, department of neurosurgery, department of chest surgery, depart-ment of ophthalmology, department of stomatology, department of urology and department of otology from 2007 to 2008,excluding the cases of remedial antimicrobial agents before the operation. 331 cases used prophylac-tic antimicrobial agents were analyzed. Results There are problems in prophylactic antimicrobial usage in patients with type Ⅰ incision operation in this hospital, including antimicrobial agents not chosen properly, the indications not stringent, the timing of usage not appropriate. These problems can induce medical costs to go up and drug-resistance bacteria to increase. Conclusions Clinicians should learn the guiding principles for clinical application of antibacterial agent according to the features of different surgical departments, take essen-tial administrative actions for surveillance, and promote rational use of antibiotics in infection prevention of surgical intervention.