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王国庆, 李凡. 长春市儿科感染性疾病抗生素使用现状分析[J]. 中国公共卫生, 2007, 23(2): 138-139. DOI: 10.11847/zgggws2007-23-02-06
引用本文: 王国庆, 李凡. 长春市儿科感染性疾病抗生素使用现状分析[J]. 中国公共卫生, 2007, 23(2): 138-139. DOI: 10.11847/zgggws2007-23-02-06
WANG Guo-qing, LI Fan. Analysis on present status of antibiotic use in paediatrics’infectious diseases in Changchun city[J]. Chinese Journal of Public Health, 2007, 23(2): 138-139. DOI: 10.11847/zgggws2007-23-02-06
Citation: WANG Guo-qing, LI Fan. Analysis on present status of antibiotic use in paediatrics’infectious diseases in Changchun city[J]. Chinese Journal of Public Health, 2007, 23(2): 138-139. DOI: 10.11847/zgggws2007-23-02-06

长春市儿科感染性疾病抗生素使用现状分析

Analysis on present status of antibiotic use in paediatrics’infectious diseases in Changchun city

  • 摘要: 目的 了解长春市儿科感染性疾病抗生素的使用情况,为指导抗生素合理使用提供参考依据。方法 随机抽取2003~2006年长春市1所三级甲等医院儿科因感染性疾病住院病例700例,调查抗生素联合使用情况、药品种类、使用频率、平均用药天数,分析抗生素使用与药敏试验和白细胞(WBC)计数的关系。结果 2003~2006年,长春市儿科感染性疾病抗生素的使用率分别为95%,100%,99%,100%;各年使用频率最高的抗生素分别为头孢呋辛(37%)、头孢呋辛(32%)、头孢硫咪(25%)、头孢硫咪(33%);平均用药天数最多的抗生素分别为头孢呋辛(4.5d)、头孢呋辛(4.5d)、头孢噻肟/舒巴坦(4.7d)、头孢噻肟/舒巴坦(6.7d);药敏试验率分别为8.4%,12%,12.7%,11%;WBC计数在正常范围内(4×109/L~10×109/L)的抗生素使用率分别为54.2%,63%,67.7%,71%。结论 长春市儿科感染性疾病抗生素用药单一,缺乏科学依据,抗生素使用需进一步规范。

     

    Abstract: Objective To investigate the present status of antibiotic use in paediatrics'infectious diseases in Changchun and guide the rational use of antibiotics.Methods 700 cases of infectious diseases of childen from Changchun were randomly selected for a retro-spective investigation from 2003 to 2006.To analyze the combined treatment status,variety,frequency,average days of medication and the relationship between antibiotic use with susceptibility test and WBC.Results From 2003 to 2006,the rates of antibiotic use were 95%,100%,99%,100%.The most use frequencies of antibiotic were cefuroxime (37%),cefuroxime(32%),cephathiamidin(25%),cephathiamidin(33%).The most days of antibiotic use were cefuroxime (4.5d),cefuroxime(4.5d),cefotaxim/sulbactam(4.7d),cefotaxim/sulbactam(6.7d).The rates of the antibiotic use within susceptibility test were 8.4%,12%,12.7%,11%.The rates of the antibiotic use within normal limits of WBC were 54.2%,63%,67.7%,71%.Conclusion The antibiotic use of paediatrics'infectious diseases is unitary and irrationalitical in Changchun.The use of antibiotic needs more standardization.

     

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