江苏省性病监测点疗淋病使用抗生素情况调查.docVIP

江苏省性病监测点治疗淋病使用抗生素情况调查 [摘要] 目的 分析江苏省临床医生治疗淋病使用抗生素的情况，为制定淋病的防治策略提供科学依据。方法 采用整群抽样、面对面访问的方法，对全省13个性病监测点的195名临床医生临床治疗淋病使用抗生素情况进行了调查。用EpiData3.1软件录入数据，Excel和SPSS16.0软件进行汇总和分析，使用 Logistic回归模型进行多因素分析。结果 在调查的195名临床医生中，联合用药的占56.41%，联合用药中以国家指南作为依据的为88人，占到80%，合并其他感染和个人经验和习惯的分别占了18.19%和1.82%；以头孢作为首选药治疗的，占了87.69%；医生所在医院类别和所在科室类别对淋病治疗用药的影响较大（P0.05）；在多因素分析中，皮肤病医院则倾向于联合用药（P0.001），并倾向于使用除头孢曲松钠以外的其他头孢类抗生素治疗淋病（P0.001），皮肤科医生在联合用药时更喜欢按照个人习惯和经验而不是按照国家指南来治疗淋病（P0.05）。结论 临床医生对淋病治疗标准的掌握还有欠缺，尤其是应加强皮肤病性病医院和医生治疗淋病临床用药的培训，不断提高淋病的诊疗水平，更好地控制性病艾滋病在我省的传播。 [关键词] 淋病；抗生素；头孢类抗生素；治疗；性病 Clinical antibiotic- use survey for gonorrhea treatment in Jiangsu province [Abstract] Objective To analyze clinical treatment of gonorrhea with antibiotics in Jiangsu province, providing scientific basis for gonorrhea control strategy. Methods With cluster sampling and face-to-face interview, 195 clinical doctors in 13 STD monitoring spots in Jiangsu were investigated with clinical use of antibiotics for treatment of gonorrhea. Using Epdata3.1 for data entry and verification, Excel and SPSS16.0 for summary and analysis, and Logistic multifactor regression model for multifactor analysis. Results Among 195 clinical doctors investigated, 56.41% of them applied the combination drug therapy; 88 doctors were in accordance with National Guidelines when using the therapy, accounted for 80%; The combination of other infections and personal experiences and habits accounted for 18.19% and 1.82% respectively; With cephalosporins as the drug of first choice accounted for 87.69%. The difference of hospitals and departments had a big influence on the treatment for gonorrhea (p 0.05); With multifactor analysis, dermatosis specialized hospitals were likely to use combination drug therapy (p 0.001), and preferred other cephalosporins antibiotics rather than ceftriaxone sodium for treatment of gonorrhea (p 0.001). Instead of the National Guidelines, dermatologists relied mostly on personal habits and experiences to treat gonorrhea (p