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目的规范小儿ARI院前抗菌药物应用。方法询问病人居住地及院前就诊的医疗机构,分析不同深度ARI院前抗菌药物应用状况。结果初诊在基层医疗机构923(76.92%)例,在县以上医院277(23.08%)例。使用抗菌药物者1130(94.17%)例,其中联合用药者333(29.47%)例,采用静脉滴注者837(74.07%)例。结论乡镇医院、诊所、社区门诊在小儿ARI的治疗中无明确治疗和预防指征使用抗菌药物现象较普遍;用药次数、间隔时间忽略了药动学和药效学的特性。
Objective To standardize pediatric ARI prenatal antibacterials. Methods The medical institutions where the patients resided and hospitalized before were interviewed to analyze the application of antimicrobial agents in pre-hospital ARI. Results There were 9 cases (76.92%) newly diagnosed in primary medical institutions and 277 (23.08%) cases in hospitals above the county level. Among 1130 (94.17%) patients who used antimicrobial agents, 333 (29.47%) patients in combination group received intravenous infusion of 837 (74.07%) patients. Conclusion There is no clear indication for the use of antibacterials in township hospitals, clinics and community outpatient clinics for the treatment of ARI in pediatric patients. The use of antimicrobial agents is common in the treatment of children with ARI. The pharmacokinetics and pharmacodynamics are neglected in the number of medication and interval.