Reasonable use of antibacterials during the surgery: The key to safeguarding the safety of the surgery is in the medical field, which is an important means of treating many diseases, and the rational use of antibacterials during the surgery is essential to the success of the operation and the rehabilitation of the patient.The period of surgery includes the period before, during and after the operation. The surgical cut provides a possible route for bacteria to enter the human body, and the use of antibacterial drugs can effectively reduce the risk of infection in the surgery. For clean-up operations, such as thyroid surgery and breast surgery, the preventive use of antibacterial drugs is usually also required if the procedure is large, long, involves important organs, or the patient has high-risk factors such as advanced age and diabetes. The medication is usually given 30 minutes to 2 hours before the operation begins, so that the local tissue at the time of the surgery’s exposure is at a level sufficient to kill the bacteria that were invaded during the operation.For clean-polluting operations, such as gastrointestinal surgery, vaginal hysterectomy, etc., rational use of antibacterial drugs is more necessary because of the potential for contamination of the parts of the operation. The choice of drugs is made for bacteria that may be contaminated, such as gastrointestinal tract surgery, which is often directed at grenacella and anaerobics. An additional dose of antibacterial drugs in the operation to maintain an effective antibacterial concentration is required if the operation takes more than three hours or if the blood loss exceeds 1,500 ml.After the operation, antibacterial drugs cannot be used for too long. In general, the preventive use of drugs after a cleaning operation does not exceed 24 hours, and clean-contaminated and contaminated operations are appropriately prolonged, but mostly do not exceed 72 hours. The long and unnecessary use of antibacterial drugs not only does not further reduce the risk of infection, but also increases the likelihood of bacterial resistance and may give rise to adverse reactions from patients, such as diarrhoea, rashes and damage to liver and kidney functions.The selection of appropriate antibacterial drugs is a key link. The type of operation, the possible pathogen, the antibacterial spectrum of the drug, the adverse reactions and the individual circumstances of the patient, such as age, liver and kidney function, are to be considered in a comprehensive manner. For example, in cases of kidney insufficiency, the use of antibacterials with kidney toxicity is avoided; in cases of children, attention is paid to the accurate calculation and safety of the dose.Medical personnel have an important responsibility in the use of antibacterials during the surgery. They need to strictly follow the guidelines for the use of anti-bacterial drugs, accurately assess the risk of infection from the operation, and make reasonable choices about the drugs and the timing of their delivery. At the same time, hospitals should establish effective regulatory mechanisms to monitor and evaluate the use of antibacterials during the immediate surgery, and to detect and correct the use of irrational drugs in a timely manner.Basic knowledge is also needed for patients and families. If it is found that the use of antibacterial drugs during the immediate surgery is unreasonable, if the same antibacterial drug is used extensively for a prolonged period of time without a reasonable explanation, there is a right to ask medical personnel. At the same time, relevant examinations are carried out in cooperation with medical personnel, such as timely examination of liver and kidney function indicators when using antibacterial drugs that may affect liver and kidney function.The rational use of antibacterial drugs during the immediate surgery is a systematic project that requires the joint efforts of medical personnel, hospital management and patients. Only in this way will it be possible to reduce the incidence of bacterial resistance and adverse reactions while effectively preventing the infection in the part of the operation, to ensure the successful recovery of the surgical patient and to make the operation work better under the reasonable protection of anti-bacterial drugs.
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