鹤壁市儿科感染性疾病抗生素使用的现状分析.docVIP

鹤壁市儿科感染性疾病抗生素使用的现状分析 　　【摘要】 目的了解鹤壁市儿科感染性疾病抗生素的使用情况,为指导抗生素合理使用提供参考依据。方法 随机抽取2006~2009年鹤壁市鹤煤总医院(二级甲等医院)儿科因感染性疾病住院病例700例,调查抗生素联合使用情况、药品种类、使用频率、平均用药天数,分析抗生素使用与药敏试验和白细胞(WBC)计数的关系。结果 2006~2009年,鹤壁市儿科感染性疾病抗生素的使用率分别为95%,100%,99%,100%;各年使用频率最高的抗生素分别为头孢呋辛(37%)、头孢呋辛(32%)、头孢硫咪(25%)、头孢硫咪(33%);平均用药天数最多的抗生素分别为头孢呋辛(4~5 d)、头孢呋辛(4~5 d)、头孢噻肟/舒巴坦(4~7 d)、头孢噻肟/舒巴坦(6~7 d);药敏试验率分别为3.16%,4%,2.53%,3%;WBC计数在正常范围内(4×10?9/L～10×10?9/L)的抗生素使用率分别为54.2%,63%,67.7%,71%。结论 鹤壁市儿科感染性疾病抗生素用药单一,缺乏科学依据,抗生素使用需进一步规范。 　　【关键词】儿科; 抗生素; 现状 　　 　　Analysis of antibiotic use in pediatric infectious dieases 　　CHEN Guoxun.Department of Pediatrics ,General Hospital of Hebi Coalh Hebi 458000,China 　　【Abstract】 Objective 　　To learn the antibiotics in pediatric infectious diseases in order to guide the rational use of antibiotics to provide a reference. Methods Too cases with pediatric infectious diseases from 2006 to 2009 in Hebi Coal city General Hospital were selected to investigate the joint use of antibiotics, drug type, frequency of use, the average number of days medication, analysis of antibiotic use and drug susceptibility testing and leukocyte (WBC) count. Results From 2006 to 2009, Hebi City, pediatric infectious diseases of the usage of antibiotics were 95%, 100%, 99%, 100%; each year the most frequently used antibiotics were cefuroxime (37%), Cephalosporium furostanol Sim (32%), Cefathiamidine microphone (25%), Cefathiamidine microphone (33%); the average number of days use the most antibiotics were cefuroxime (4~5 d), cefuroxime (4~5 d), cefotaxime / sulbactam (4~7 d), cefotaxime / sulbactam (6~7 d); sensitivity test rates were 3.16%, 4%, 2.53%, 3%; WBC count within the normal range (4×10?9/L~10×10?9/L) of antibiotic usage were 54.2%, 63%, 67.7%, 71%.Conclusion 　　Antibioticuse in Hebi pediatric infectious diseases is single and lacks sicentific basis.It needs to be further standardized. 　　【Key words】 Status of pediatric antibiotics 　　 　　抗生素的应用对儿科感染性疾病的治疗发挥了重要作用,但抗生素的滥用导致耐药菌急剧增多和迅速播散,给感染性疾病治疗带来了巨大