Perioperative Utilization of Antibiotics in Patients Undergoing Different Aseptic Operations in Our Hospital

OBJECTIVE: To evaluate the rationality of the perioperative utilization of antibiotics in patients undergoing thyroidectomy,adenomammectomy or herniorrhaphy(3 aseptic operations in brief) in our hospital.METHODS: A total of 434 medical records of discharged patients who underwent thyroidectomy,adenomammectomy or herniorrhaphy in our hospital between July 2008 and Mar.2009 were sampled for statistical analysis with regard to the categories of antibiotics,dosage and administration,medication time etc.RESULTS: Of the total 434 cases reviewed,100% received antibiotics prophylactically;96.32%(419) received antibiotics at 0.5～2 before operation,28.28%(123) received antibiotics within 24 h after operation,and 38.62%(168) received antibiotics between 24 h and 48 h after operation.A total of 6 categories of antibiotics were used prophylactically,topping the list were penicillins(46.20%),followed by cephalosporins(36.33%) in which the first generation cephalosporins accounted for 3.68%.CONCLUSION: Great importance should be attached to the irrational prophylactic use of antibiotics in 3 different aseptic operations in our hospital so as to effectively promote rational use of antibiotics.