CAJ | 학술논문

目的：调查儿科临床抗菌药物使用情况，为临床合理使用抗菌药物提供参考。方法抽取某医院儿科2012年出院归档病历240份进行分析，内容包括患儿性别、年龄、住院时间、入（出）院诊断及转归，抗菌药物的用法、配伍、联合用药、微生物送检等情况。结果（1）本组患儿以呼吸系统疾病最多，占31．18％，神经系统疾病次之，占18．63％；（2）227例患儿使用了抗菌药物，使用率94．58％，抗菌药物联用比例占56．83％；（3）微生物检验样本送检率17．18％，送检的52份标本中16份有致病菌生长（30．77％）。结论该院儿科临床滥用、乱用抗菌药物的现象较普遍，有待进一步规范管理。
목적：조사인과림상항균약물사용정황，위림상합리사용항균약물제공삼고。방법추취모의원인과2012년출원귀당병력240빈진행분석，내용포괄환인성별、년령、주원시간、입（출）원진단급전귀，항균약물적용법、배오、연합용약、미생물송검등정황。결과（1）본조환인이호흡계통질병최다，점31．18％，신경계통질병차지，점18．63％；（2）227례환인사용료항균약물，사용솔94．58％，항균약물련용비례점56．83％；（3）미생물검험양본송검솔17．18％，송검적52빈표본중16빈유치병균생장（30．77％）。결론해원인과림상람용、란용항균약물적현상교보편，유대진일보규범관리。
Objective To investigate the application of antibacterials in clinical pediatry , so as to provide evidence for ration-al application of antimicrobials clinically .Methods Two hundred and forty filed medical records from pediatric patients discharged from the hospital in 2012 were selected and analyzed .The medical data included gender , age, length of hospital stay , diagnosis upon admission and discharge , the application of antibiotics , compatibility and combination of drugs , microbial laboratory detection etc . Results (1) Respiratory diseases were the most common disorders among the pediatric patients , accounting for 31.18%, and were followed by nervous system diseases , accounting for 18.63%.(2) The application rate of antibacterials among the 227 pediatric pa-tients was 94.58%, and the percentage of antibacterial drug combination accounted for 56.83%.(3) The rate of microbial laboratory detection was 17.18%, and of the 52 samples sent for laboratory detection , 16 samples had pathogenic bacteria growth (30.77%). Conclusion Irrational use of antibacterials in the pediatric department of the hospital was quite common , which remained to be rectified .