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目的:儿科患者抗菌药的使用情况和存在的问题,为其合理使用提供参考。方法:收集2009年我院门诊、住院病房儿科处方355张及本地社区诊所145张患儿处方,对抗菌药使用种类及联合应用情况进行分析。结果:我院儿科及社区诊所抗茵药总使用率为92.4%,以头孢类药物的使用例次最多,其次为青霉素类和大环内酯类。单一抗茵药的使用占53.25%,联合用药占46.75%,三联用药占1.51%。结论:我院儿科及社区诊所抗菌药的使用存在不符合《抗菌药物临床应用指导原则》的情况,建议临床医生应根据儿童不同年龄段的生理特点,合理使用抗菌药。
Objective: The use of antibacterials in pediatric patients and existing problems, provide a reference for their rational use. Methods: A total of 355 pediatric prescriptions in our hospital, 355 inpatient ward pediatric prescriptions and 145 prescriptions in local community clinics were collected in 2009, and the types of antibacterials used and their combined application were analyzed. Results: The total anti-drug use rate of pediatric and community clinics in our hospital was 92.4%. The use of cephalosporins was the most frequently used, followed by penicillins and macrolides. The use of single anti-inflammatory drugs accounted for 53.25%, combined medication accounted for 46.75%, triple drug accounted for 1.51%. Conclusion: The use of antibacterials in pediatric and community clinics in our hospital does not conform to the Guiding Principles of Clinical Application of Antibacterials. It is suggested that clinicians should make rational use of antibacterials according to the physiological characteristics of children at different ages.