Antibiotics application in intracoronary coronary stenting during perioperative period

JING Li; FAN Kan-hua; ZHOU Qian

doi:10.3969/j.issn.1006-0111.2012.01.018

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Objective To Sum up the situation of using antibiotics in intracoronary coronary stenting, and normalize the usage criterion and reinforce the management of antibiotics. Methods Retrospective survey method was used. 206 cases of patients who underwent cardiac intervention surgery between Jan., 2011 to May, 2011 were randomly selected for investigating and analyzing the usage of antibiotics. Results In the 260 cases, only 7 cases received no antibacterial treatment, while other 199 cases (96.6%) received prophylactic antibacterial treatment. The cephamycins was the predominant prophylactic antibiotics with the utility rate of 60.86%; the usage rate of first-generation and second-generation cephalosporins were 16.21% and 13.04% respectively; the usage rate of quinolone was 5.53%. All cases were medicated after surgery. The duration of prophylactic therapy spanned from 1d to 12 d, and the average antibacterial usage period was 3 d. Conclution The outstanding problems in prophylactic usage of antibiotics were the improper choice for the antibiotics, the improper choice for the medicinal usage occasion and the prolonged postoperative usage of antibiotics. It was urgent to intensify physicians' consciousness about rational use of antibiotics in intracoronary coronary stenting during perioperative period.

Antibiotics application in intracoronary coronary stenting during perioperative period

General hospital of Chengdu military command,Chengdu 610083,China

Received Date: 2011-08-22

Rev Recd Date: 2011-10-20

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Abstract: Objective To Sum up the situation of using antibiotics in intracoronary coronary stenting, and normalize the usage criterion and reinforce the management of antibiotics. Methods Retrospective survey method was used. 206 cases of patients who underwent cardiac intervention surgery between Jan., 2011 to May, 2011 were randomly selected for investigating and analyzing the usage of antibiotics. Results In the 260 cases, only 7 cases received no antibacterial treatment, while other 199 cases (96.6%) received prophylactic antibacterial treatment. The cephamycins was the predominant prophylactic antibiotics with the utility rate of 60.86%; the usage rate of first-generation and second-generation cephalosporins were 16.21% and 13.04% respectively; the usage rate of quinolone was 5.53%. All cases were medicated after surgery. The duration of prophylactic therapy spanned from 1d to 12 d, and the average antibacterial usage period was 3 d. Conclution The outstanding problems in prophylactic usage of antibiotics were the improper choice for the antibiotics, the improper choice for the medicinal usage occasion and the prolonged postoperative usage of antibiotics. It was urgent to intensify physicians' consciousness about rational use of antibiotics in intracoronary coronary stenting during perioperative period.

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Reference (12)

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Antibiotics application in intracoronary coronary stenting during perioperative period

doi: 10.3969/j.issn.1006-0111.2012.01.018

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