5173例儿童静脉滴注抗感染药物现状调查及护理对策

An investigation on anti-infection drugs infusion in 5 173 children and nursing strategy

目的了解儿科门诊静脉滴注抗感染药物的应用情况,分析存在问题,探讨护理对策。方法回顾性调查2003年10月-2004年4月儿科门诊行静脉滴注治疗的所有患儿,对其使用抗感染药物的情况进行整理分析。结果2￣7岁是使用抗感染药物的高峰年龄段。抗感染药物应用占同期输液患儿的98.2%,抗感染药物使用频率高低顺位依次是:3代头孢类、抗病毒类、青霉素类、1代头孢类、中药、2代头孢类和氨基苷类。抗菌药物与抗病毒药物同用占56.14%,抗菌药物二联用药占9.51%,抗菌药物三联用药占0.19%。结论加强护理管理,是促进抗感染药物合理应用的有效途径,包括正确给药、细致观察、合理用药、健康教育。

Objective To investigate current anti-infection drugs infusion in pediatric outpatient department（OPD）, analyse existing problems and discuss the nursing strategy. Methods All children received infusion in pediatric OPD from Oct. 2003 to Apr. 2004 were surveyed retrospectively. The anti-infection drugs were sorted out and analyzed. Results The peak age of anti-infections drugs infusion was during 2-7 years old, with a proportion of 98.2% of all infusions. The frequency of anti-infections drugs （from high to low）： the 3rd-generation cephalosporins, antiviral drugs, penicillin, the lst-generation cephalosporins, TCM, the 2nd -generation cephalosporins and gentamicin. Combined use of antibacterial and antivirus comprised 56.14%, two antibacterials 9.51% and three 0.19%. Conclusions Enhancing nursing management is an effective way for rational drugs use, including： （1） correct administration （2） close observation （3） rational use of drugs （4） health education.