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目的:分析上呼吸道感染不合理应用抗生素情况,总结合理用药管理经验。方法:2017年1月~2017年5月,医院共采用抗生素治疗上呼吸道感染3474例,约占呼吸道感染病历总数33.85%(3474/10263),回顾性分析方法,常规描述性统计学所有处方,抽取500份处方进行点评。结果:流感患者2974例,约占呼吸道感染病例的85.61%(2974/3474),用药的剂型,其中口服82.78%,静脉注射17.22%。不合格处方占13.2%,其中缺乏病原学证据可能为病毒感染3占6.8%、使用高等级的抗生素4.4%、疗程过长2.0%。结论:上呼吸道感染不合理应用抗生素情况仍然存在,需要重视适应症管理、限制高级别抗生素的应用、加强疗程管理。
Objective: To analyze the irrational use of antibiotics in upper respiratory tract infection and to summarize the experience of rational drug administration. Methods: From January 2017 to May 2017, a total of 3474 cases of upper respiratory tract infections were treated with antibiotics in hospitals, accounting for 33.85% (3474/10263) of the total number of cases of respiratory infections. The retrospective analysis methods, routine descriptive statistics, Take 500 prescriptions for comment. Results: There were 2974 influenza patients accounting for 85.61% (2974/3474) of the cases of respiratory tract infection. Among them, 82.78% were oral and 17.22% were intravenously injected. 13.2% of unqualified prescriptions, of which the lack of etiological evidence may be viral infection 3 accounted for 6.8%, the use of high-grade antibiotics 4.4%, 2.0% longer treatment. CONCLUSIONS: The unreasonable use of antibiotics in upper respiratory tract infection still exists. It is necessary to pay attention to the management of indications, limit the application of high-level antibiotics and enhance the management of the course of treatment.