儿科门诊急性上呼吸道感染应用抗菌药物的使用情况  

The Use of Antimicrobial Drugs in Pediatric Outpatient Department for Acute Upper Respiratory Tract Infections

作　　者：苏文斌 SU Wenbin(Department of General Outpatient,Pandu Town Health Center,Fuzhou 350506,China)

机构地区：[1]连江县潘渡镇卫生院综合门诊科,福州350506

出　　处：《中国医药指南》2024年第32期120-122,共3页Guide of China Medicine

摘　　要：目的探讨儿科门诊中急性上呼吸道感染的抗菌药物使用情况,并评价临床应用效果。方法回顾性研究2023年1月-12月连江县潘渡镇卫生院儿科门诊收治的300例急性上呼吸道感染患儿的临床资料,分析抗菌药物使用情况。结果300张处方中抗菌药物处方188张,使用率为62.67%,其中,一联用药占52.12%,二联用药占30.31%,三联用药占17.55%。在抗菌药物给药途径中,口服给药是首要途径(57.44%),其次是静脉给药(29.25%)。外周白细胞计数正常的处方中,抗菌药物使用率为45.45%,在没有进行血象检查的处方中,抗菌药物使用率17.64%。主要使用抗菌药物5类,其中头孢菌素类最多,而DDDs排第1位的是阿奇霉素,其次是头孢克洛。结论儿科门诊急性上呼吸道感染患儿的抗菌药物使用情况总体较规范,但仍存在一些不合理使用情况,在实际用药中,临床还需加强监督和指导,确保抗菌药物在儿科门诊治疗急性上呼吸道感染中的合理使用。Objective To explore the use of antimicrobial drugs in pediatric outpatients with acute upper respiratory tract infections and to evaluate the clinical application effects.Methods A retrospective study was conducted on the clinical data of 300 children with acute upper respiratory tract infections treated in the pediatric outpatient department of Lianjiang County Pandu Town Health Center from January to December 2023,and the use of antimicrobial drugs was analyzed.Results Among the 300 prescriptions,there were 188 prescriptions for antimicrobial drugs,with a usage rate of 62.67%.Among them,monotherapy accounted for 52.12%,dual therapy accounted for 30.31%,and triple therapy accounted for 17.55%.In terms of the administration route of antimicrobial drugs,oral administration was the primary route(57.44%),followed by intravenous administration(29.25%).In prescriptions where the peripheral white blood cell count was normal,the usage rate of antimicrobial drugs was 45.45%,and in prescriptions without a blood examination,the usage rate of antimicrobial drugs was 17.64%.The main antimicrobial drugs used were 5 categories,with cephalosporins being the most used,and the antimicrobial drugs with the highest defined daily doses(DDDs)were azithromycin,followed by cefuroxime.Conclusions The use of antimicrobial drugs in pediatric outpatients with acute upper respiratory tract infections is generally more standardized,but there are still some irrational uses.In actual medication use,clinical supervision and guidance need to be strengthened to ensure the rational use of antimicrobial drugs in the treatment of acute upper respiratory tract infections in pediatric outpatients.

关 键 词：急性上呼吸道感染 儿科门诊 抗菌药物 合理应用 

分 类 号：R725.6[医药卫生—儿科]