1例细菌性扁桃体炎抗菌药物应用分析  

A case-sharing of antibiotics in the treatment of bacterial tonsillitis

作　　者：陈思雨 杨春霞 裴迎华[2] CHEN Si-yu;YANG Chun-xia;PEI Ying-hua(Department of General Practice,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Respiratory Medicine,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Department of Pharmacy,the Hospital of Shunyi District Beijing,Beijing 101300,China)

机构地区：[1]首都医科大学附属北京天坛医院全科医疗科,北京100070 [2]首都医科大学附属北京天坛医院呼吸内科,北京100070 [3]北京市顺义区医院药剂科,北京101300

出　　处：《临床药物治疗杂志》2019年第5期16-18,23,共4页Clinical Medication Journal

摘　　要：1例32岁年轻患者,高热伴咽痛1d,查体可见咽部充血,双侧扁桃体Ⅱ度肿大,伴较多白色脓性点状渗出,血白细胞、C-反应蛋白明显升高,甲型/乙型流感病毒检测阴性,明确诊断为细菌性扁桃体炎。根据我国细菌耐药性监测结果,细菌性扁桃体炎应首选青霉素类抗菌药物治疗,二线治疗方案为一代或二代头孢菌素类抗菌药物。本病例中存在抗菌药物应用不合理,临床诊疗中应根据相关指南及规范合理应用抗菌药物。A 32-year-old young patient with hyperthermia and sore pharynx showed hyperemia in pharynx,Ⅱ degree enlargement of bilateral tonsil,lots of white pyogenic punctate exudation,significantly increase of the white blood leukocyte and C-reactive protein,and negative detection of influenza A/B virus.Bacterial tonsillitis diagnosis was definite.According to the monitoring results of bacterial drug resistance in China,penicillins should be the first choice in the treatment of bacterial tonsillitis,and the second line therapy is the first or second generation cephalosporins.There was unreasonable use of antibiotics in this case.Rational use of antibiotics in clinical diagnosis and treatment should be based on relevant guidelines and norms.

关 键 词：细菌性扁桃体炎 Β-溶血性链球菌 抗菌药物 

分 类 号：R978.1[医药卫生—药品]