Investigation and management of prophylactic antibiotics using during perioperative period

Objective To investigate the antibiotics using during perioperative period in our hospital and to formulate management strategy to guide reasonable drug using in clinics.Methods The antibiotics using of 658 patients with operation during perioperative period were investigated and evaluated rationally.Results The using rate of antibiotics during perioperative period in our hospital was 92.4%,including 72.9% for Ⅰ class incision,100% for Ⅱor Ⅲ class incision.The using rate of antibiotics before or during operation was lower,including 20.5% for Ⅰclass incision,31.6% and 39.5% for Ⅱ and Ⅲ class incision respectively.However,the using rate of antibiotics after operation was higher and the duration was longer.Lots of irrationalities in antibiotics using during perioperative period in our hospital were found.Conclusion There were some deficiencies in antibiotics using during perioperative period in our hospital including wide medication indication,non-appropriate medication opportunity,higher starting point of selecting antibiotics and low detection rate of etiology.It's necessary to strengthen the management and to use antibiotics rationally.