Comparison of bacterial distribution on surgical incision and antimicrobial application in basic-level hospitals

doi:10.3969/j.issn.1674-3806.2014.03.04

Abstract：Objective To know the bacterial distribution on surgical incision and antimicrobial application in primary hospital and provide the basis for clinical antibacterial drug application .Methods Bacterial culture was per-formed in 246 patients′surgical incision treated in primary hospital by single blind , and recorded antimicrobial appli-cation in perioperative period ,then compared and analyzed it with related regulations and reference from Chinese med-ical association and national hygiene department .Results Seventy-nine strains of pathogenic bacteria had been de-tected in 246 patients′surgical incision , including 53 strains of E .coli ( 67.09%) , 24 strains of Staphylococcus (30.38%) and 2 strains of pseudomonas aeruginosa (2.53%).The 246 patients used 6 class,14 kinds of antibacteri-al drugs,417 times without considering the surgical incision category , the usage rate of antibacterial drug was 100%, second generation cephalosporin was the most frequently used (50.60%), there were problems of without indications drugs,most of the perioperative use of antimicrobial medicine , chaotic medicine choices, too long medication,inaccu-rate medication time , and improper carrier solvent existed in the perioperative period of most antimicrobial applica -tion.Conclusion The main gram positive bacteria of surgical incision is epidermis staphylococcus in primary hospi -tal;the antimicrobial application in perioperative period at present is still generally unreasonable , more effective inter-vention and supervision measures should be adopted ,in order to further promote the reasonable antimicrobial applica-tion in clinic .