调查骨科内固定取出术预防使用抗菌药物与否的差异
投稿时间:2018-07-11  修订日期:2018-09-19  点此下载全文
引用本文:黄建权,许姜姜,杨巧玲,高洁,孙华君.调查骨科内固定取出术预防使用抗菌药物与否的差异[J].药学实践杂志,2019,37(1):74~76
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作者单位E-mail
黄建权 上海市儿童医院药学部, 上海 200062  
许姜姜 上海市儿童医院院感办, 上海 200062  
杨巧玲 上海市儿童医院药学部, 上海 200062  
高洁 上海市儿童医院院感办, 上海 200062  
孙华君 上海市儿童医院药学部, 上海 200062 sunhj1@shchildren.com.cn 
基金项目:上海市卫生计生系统重要薄弱学科建设计划(2016ZB0305-01)
中文摘要:目的 考察骨科内固定取出术预防使用抗菌药物与否的效果差异。方法 回顾性分析上海市儿童医院骨科2016—2017年间,择期内固定取出术患儿的性别、年龄、血常规检查数据、是否预防使用抗菌药物、是否继发切口感染和术后住院时间等数据。结果 预防使用抗菌药物组(71例)与未用药组(350例)患儿的术后平均住院时间分别为(1.80±1.24)d和(1.27±0.61)d,差异有统计学意义(P<0.05)。结论 是否预防使用抗菌药物与切口感染无关,建议逐步纠正临床医生的预防用药行为,降低骨科择期内固定取出术预防使用抗菌药物的比例。
中文关键词:清洁手术  内固定  预防用药  抗菌药物
 
Study on the preventive use of antibiotics in removal surgery for internal fixation
Abstract:Objective To investigate the preventive use of antibiotics for internal fixation as selective removal surgery during perioperative period. Methods The sex, age, routine blood examination data, preventive medications, secondary incision infection and postoperative hospital stay for the patients underwent selective removal surgery for internal fixation from July 2015 to June 2017 were analyzed. Results The average postoperative hospitalization time for the preventive medication group (n=71) and the untreated group (n=350) were (1.80±1.24) days and (1.27±0.61) days. This difference was statistically significant (P<0.05). Conclusion Preventive antibiotics use is not related to incision infections. It is recommended to correct the current behavior of the preventive drug use. The preventive antibiotics use in selective removal surgery for internal fixation in the Department of orthopedics needs to be reduced.
keywords:clean operation  internal fixation  preventive medications  antibiotics
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