国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2011年
24期
3075-3078
,共4页
抗生素%支气管肺炎%住院%儿科
抗生素%支氣管肺炎%住院%兒科
항생소%지기관폐염%주원%인과
Antibiotic drugs%Bronchopneumonia%In-patient%Pediatrics
目的 调查分析本院儿科2010年支气管肺炎(住院)患者抗生素应用情况,供儿科医师临床工作中合理使用抗生素提供参考.方法 应用回顾性调查研究方法,提取本院2010年儿科支气管肺炎住院病例341例,对抗生素使用情况进行统计和分析.从计算机数据库调取病例及相关数据,对儿科支气管肺炎住院病人抗生素用药品种及使用率、用药剂最及用药次数、对患儿不同白细胞水平抗生素使用情况进行调查统计、对病原体送检率、联合使用情况等进行统计分析.结果 儿科支气管肺炎(住院)病人抗生素使用率过高,341病例中,共328例(96.18％)应用抗生素,严重超出卫生部(＜50％)和WHO(＜ 30％)标准；口服药品使用比例低,患儿住院期间使用的抗生素均为静脉用药,口服抗生素均为出院带药；抗生素剂量及次数不合理；病原学检查不及时,仅101例(29.62％)行病原学检查,低于卫生部标准(＞30％).结论 儿科医生应加强对支气管肺炎(住院)病人抗生素用药的重视,根据病原学检查结果,安全、有效、合理选择用药品种、用药方式,正确选择抗生素剂量及次数,使疾病治疗由经验治疗转为病原治疗.
目的 調查分析本院兒科2010年支氣管肺炎(住院)患者抗生素應用情況,供兒科醫師臨床工作中閤理使用抗生素提供參攷.方法 應用迴顧性調查研究方法,提取本院2010年兒科支氣管肺炎住院病例341例,對抗生素使用情況進行統計和分析.從計算機數據庫調取病例及相關數據,對兒科支氣管肺炎住院病人抗生素用藥品種及使用率、用藥劑最及用藥次數、對患兒不同白細胞水平抗生素使用情況進行調查統計、對病原體送檢率、聯閤使用情況等進行統計分析.結果 兒科支氣管肺炎(住院)病人抗生素使用率過高,341病例中,共328例(96.18％)應用抗生素,嚴重超齣衛生部(＜50％)和WHO(＜ 30％)標準；口服藥品使用比例低,患兒住院期間使用的抗生素均為靜脈用藥,口服抗生素均為齣院帶藥；抗生素劑量及次數不閤理；病原學檢查不及時,僅101例(29.62％)行病原學檢查,低于衛生部標準(＞30％).結論 兒科醫生應加彊對支氣管肺炎(住院)病人抗生素用藥的重視,根據病原學檢查結果,安全、有效、閤理選擇用藥品種、用藥方式,正確選擇抗生素劑量及次數,使疾病治療由經驗治療轉為病原治療.
목적 조사분석본원인과2010년지기관폐염(주원)환자항생소응용정황,공인과의사림상공작중합리사용항생소제공삼고.방법 응용회고성조사연구방법,제취본원2010년인과지기관폐염주원병례341례,대항생소사용정황진행통계화분석.종계산궤수거고조취병례급상관수거,대인과지기관폐염주원병인항생소용약품충급사용솔、용약제최급용약차수、대환인불동백세포수평항생소사용정황진행조사통계、대병원체송검솔、연합사용정황등진행통계분석.결과 인과지기관폐염(주원)병인항생소사용솔과고,341병례중,공328례(96.18％)응용항생소,엄중초출위생부(＜50％)화WHO(＜ 30％)표준；구복약품사용비례저,환인주원기간사용적항생소균위정맥용약,구복항생소균위출원대약；항생소제량급차수불합리；병원학검사불급시,부101례(29.62％)행병원학검사,저우위생부표준(＞30％).결론 인과의생응가강대지기관폐염(주원)병인항생소용약적중시,근거병원학검사결과,안전、유효、합리선택용약품충、용약방식,정학선택항생소제량급차수,사질병치료유경험치료전위병원치료.
Objective To investigate and analyze the status of the antibiotics usage in bronchopneumonia of the children in-patient in pediatrics in 2010 and provide the reference for clinic.Methods By using the retrospective study method,341 cases of bronchopneumonia of the children in-patient in pediatrics in our hospital during 2010 were selected to start and analyze the usage of antibiotics.The cases and related data were taken from the computer database and statistically analyzed,the kinds of drugs,the using ratio,the dosage and times of antibiotic drugs were investigated.The patients were divided into different groups as the different severity of the disease(WBC level) and the antibiotics usage in each group was surveyed.Data of pathogeny checking ratio was combined with the drug usage and united drugs.Results The ratio of antibiotic utilization of infection inpatients was higher than normal standard.Among the 341 children,328(96.18％) were using antibiotics during the hospitalization,the ratio also outran the MOH( ＜ 50％) and WHO( ＜ 30％) criterion seriously.The doctors seldom used the oral antibiotics drugs.All of the 328 children were applied with antibiotics in the way of venous transfusion,the oral antibiotics drugs were only used when the patients left hospital.The dosage and times of antibiotic drugs were also unreasonable.The check of pathogeny wasn抰 in time.Among the 341 children,only 1 01 (29.62 ％) were applied with the check of pathogeny.The ratio of pathogeny check was lower than the MOH standard ( ＞30％).Conclusion Doctors should take the antibiotics usage into account in the children with pneumonia.The safe,effective and reasonable kinds of drug and the mode of medications should be determined by the check of pathogeny.Doctors also should choose the dosage and times of antibiotic drugs rightly,changing the empirical therapy to the pathogenic treatment.
