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对未确诊的初诊发热患者使用抗生素的现象较为普遍,若仔细摸索初诊发热病例的病种构成,了解其中细菌感染所占的比例,会有助于我们纠正滥用抗生素的现象。作者对1 000例初诊发热病例,在积极确立诊断和观察中严格按适应证使用抗生素(研究组);另外调查1 000份初诊发热未明确诊断而普遍使用抗生素的病历资料(对照组),对两组无细菌感染依据者的退热时间作了对照分析。一、观察方法和结果 (一) 资料来源 1.研究组市区先锋(1982年2月～1982年8月)、朝阳(1982年8月～1985年12月)两医院内、儿科门诊初诊发热患者1 000例。 2.对照组相同两医院内、儿科初诊发热患者1 000例。
Antibiotics are more common in patients with newly diagnosed fever who have not been diagnosed. Investigating the composition of newly diagnosed fever cases and understanding the proportion of bacterial infections in them will help us to correct the abuse of antibiotics. The author of 1 000 cases of newly diagnosed fever in the establishment of positive diagnosis and observation of indications in strict accordance with the use of antibiotics (study group); another survey of 1 000 newly diagnosed fever was not diagnosed and prevalence of antibiotic medical records (control group), Two groups based on bacterial infection were antipyretic time for a controlled analysis. I. Methods and Results of Observation (I) Source of Information 1. Pioneers in the research group (February 1982 to August 1982) and fever in the Chaoyang (August 1982-December 1985) outpatient clinics in two hospitals 1 000 patients. In the same two hospitals in the control group, there were 1 000 newly diagnosed fever patients in pediatrics.