中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
7期
1550-1552
,共3页
基层医院%门诊%中青年医师%呼吸道感染%抗菌药物应用
基層醫院%門診%中青年醫師%呼吸道感染%抗菌藥物應用
기층의원%문진%중청년의사%호흡도감염%항균약물응용
Primary hospitals%Outpatient clinic%Young doctors%Respiratory tract infection%use of antibiotics
目的：调查分析基层医院中青年医师对呼吸道感染性疾病抗菌药物合理应用情况，为提高基层医院中青年医师抗菌药物合理应用提供依据。方法采取分层抽样的方法选择北京地区5所基层医院门诊中青年医师作为调查对象，回收411份有效问卷，调查基层医院医师对抗菌药物使用相关问题的了解程度；再选择同院门诊400份呼吸道感染性疾病患者病历资料以及处方进行回顾性分析，对抗菌药物的使用情况进行统计，数据采用SPSS 19．0进行统计分析。结果基层医院医师对于抗菌药物的预防应用及联合使用指征认知率均较低，分别为30．09％及32．85％，而对于药敏学检查的认知率较好为77．61％；基层医院医师认为抗菌药物疗效不佳的原因主要为抗菌药物不合理使用占70．07％，细菌耐药性的产生占52．80％；400份呼吸道感染性疾病处方中86．75％处方应用抗菌药物，不合理应用抗菌药物有：高档抗菌药物的应用、联合用药不合理、超疗程用药、药理拮抗、溶媒不当以及重复用药等。结论基层医院中青年门诊医师对于抗菌药物使用相关知识了解程度不足，存在较多的不合理现象，应加强中青年医师的职业道德教育、提高其专业知识水平，规范化、合理化使用抗菌药物。
目的：調查分析基層醫院中青年醫師對呼吸道感染性疾病抗菌藥物閤理應用情況，為提高基層醫院中青年醫師抗菌藥物閤理應用提供依據。方法採取分層抽樣的方法選擇北京地區5所基層醫院門診中青年醫師作為調查對象，迴收411份有效問捲，調查基層醫院醫師對抗菌藥物使用相關問題的瞭解程度；再選擇同院門診400份呼吸道感染性疾病患者病歷資料以及處方進行迴顧性分析，對抗菌藥物的使用情況進行統計，數據採用SPSS 19．0進行統計分析。結果基層醫院醫師對于抗菌藥物的預防應用及聯閤使用指徵認知率均較低，分彆為30．09％及32．85％，而對于藥敏學檢查的認知率較好為77．61％；基層醫院醫師認為抗菌藥物療效不佳的原因主要為抗菌藥物不閤理使用佔70．07％，細菌耐藥性的產生佔52．80％；400份呼吸道感染性疾病處方中86．75％處方應用抗菌藥物，不閤理應用抗菌藥物有：高檔抗菌藥物的應用、聯閤用藥不閤理、超療程用藥、藥理拮抗、溶媒不噹以及重複用藥等。結論基層醫院中青年門診醫師對于抗菌藥物使用相關知識瞭解程度不足，存在較多的不閤理現象，應加彊中青年醫師的職業道德教育、提高其專業知識水平，規範化、閤理化使用抗菌藥物。
목적：조사분석기층의원중청년의사대호흡도감염성질병항균약물합리응용정황，위제고기층의원중청년의사항균약물합리응용제공의거。방법채취분층추양적방법선택북경지구5소기층의원문진중청년의사작위조사대상，회수411빈유효문권，조사기층의원의사대항균약물사용상관문제적료해정도；재선택동원문진400빈호흡도감염성질병환자병력자료이급처방진행회고성분석，대항균약물적사용정황진행통계，수거채용SPSS 19．0진행통계분석。결과기층의원의사대우항균약물적예방응용급연합사용지정인지솔균교저，분별위30．09％급32．85％，이대우약민학검사적인지솔교호위77．61％；기층의원의사인위항균약물료효불가적원인주요위항균약물불합리사용점70．07％，세균내약성적산생점52．80％；400빈호흡도감염성질병처방중86．75％처방응용항균약물，불합리응용항균약물유：고당항균약물적응용、연합용약불합리、초료정용약、약리길항、용매불당이급중복용약등。결론기층의원중청년문진의사대우항균약물사용상관지식료해정도불족，존재교다적불합리현상，응가강중청년의사적직업도덕교육、제고기전업지식수평，규범화、합이화사용항균약물。
OBJECTIVE To investigate the condition of rational use of antibiotics in treating respiratory tract infec‐tions by young doctors in primary hospitals ,so as to provide the basis for the rational use of antimicrobial drugs for young doctors in primary hospitals .METHODS Stratified sampling was used to research young doctors from 5 primary hospitals in Beijing .Totally 411 valid questionnaires were collected .The questionnaires were designed to investigate how well the young doctors knew about rational use of antibiotics .And medical records and prescrip‐tions of the 400 patients underwent respiratory tract infections were retrospectively analyzed .All data were ana‐lyzed by SPSS 19 .0 software .RESULTS The young doctors in primary hospitals knew little about precaution and combined use of antibiotics with the cognitive rate of only 30 .09% and 32 .85% .The cognition of drug sensitivity proved to be better with the rate of 77 .61% .About 70 .07% of them thought the reason of poor antibiotic efficacy was antibiotics and 52 .80% thought the antibiotic resistance of bacteria .Among the 400 prescriptions for respira‐tory tract infections ,about 86 .75% of them used antibiotics .Unreasonable application of antibiotics mainly con‐tained :the use of super expensive antibiotics ,unreasonable combination therapy ,over‐course drug use ,pharma‐cological antagonism , inappropriate solvent and repeated use of antibiotics and so on . CONCLUSION Young doctors in primary hospitals lack the knowledge about the use of antibiotics ,and unreasonable use of antibiotics is common to see .Young doctors should strengthen their professional ethics education and improve their professional knowledge level so that they can use antibiotics normatively and rationally .
