论文部分内容阅读
目的调查和评价下呼吸道感染抗菌药物的使用情况,以指导临床合理用药。方法回顾性分析某医院2008年1月-2010年12月405例下呼吸道感染患者的抗菌药物治疗情况。结果头孢菌素类、喹诺酮类、大环内酯类是下呼吸感染使用最多的3大类抗菌药物;抗菌药物单用的101例占24.94%,二联应用280例占69.14%,三联应用24例占5.93%;405例患者中有158例送痰标本做细菌培养,送检率为39.01%,其中只有38例阳性,阳性率为24.40%。结论该医院下呼吸道感染的治疗,以经验性抗感染治疗为主,病原学检查重视不够,应加强管理。
Objective To investigate and evaluate the use of antibacterials in lower respiratory tract infection to guide clinical rational drug use. Methods A retrospective analysis of 405 patients with lower respiratory tract infections in a hospital from January 2008 to December 2010 was conducted. RESULTS: Cephalosporins, quinolones and macrolides were the three most widely used antimicrobial agents for respiratory infections; 101 (24.94%) were antimicrobial agents alone, and 280 (69.14%) were used in combination with antibiotics Cases accounted for 5.93%; 158 cases of sputum specimens 158 cases of bacterial culture, the detection rate was 39.01%, of which only 38 were positive, the positive rate was 24.40%. Conclusions The treatment of lower respiratory tract infection in this hospital is mainly based on empirical anti-infective therapy. Etiological examination should not pay enough attention and management should be strengthened.