儿童血液科抗菌药物应用合理性分析

An analysis on rationality of application of antibacteriais in hematologic department of children's hospital

目的:评价儿童血液病患儿应用抗菌药物的合理性。方法:采用回顾性调查方法查阅2005年1月～2006年1月温州医学院附属育英儿童医院血液科住院病历,分析抗菌药物应用过程中存在的不合理现象。结果:139例血液病住院患儿中,应用抗菌药物存在不合理现象者占10.1%,主要表现为频繁换药、疗程过长、选药不当等。结论:血液病患儿机体抵抗力较低,引起感染的因素复杂,合理应用抗菌药物尤其重要。

Objective： To appraise the rationality of application of antibiotics in child hematologic diseases, Methods： The retrospective investigation method was adopted to review the medical records of in-patlents in the hematologic department of Yuying Children＇ s Hospital affiliated to Wenzhou Medical College from January 2005 to the January 2006. Results： Among 139 hospitalized cases of hematologic diseases, there were 10.1% with unreasonable applications of antibiotics, including too frequent changes of medicines, excessively long treatment course and unsuitable choice of drugs. Conclusions： Reasonable application of antibiotics is very important for children with hematologic diseases whose organism resistance is low, and causes of infection are complicated.