1756例头孢他美酯干混悬剂的使用分析

Application analysis of Cefetamet Pivoxil Hydrochloride for Suspension in 1756 cases

目的:了解头孢他美酯干混悬剂在我院门诊儿科的使用情况。方法:随机抽查2006年1～12月门诊儿科头孢他美酯干混悬剂处方1756份,根据该药的用法、用量、适应性、联合用药及处方诊断,分析头孢他美酯干混悬剂使用是否合理。结果:单一用药1188例,占67.7%;二联用药564例,占32.1%;三联用药4例,占0.2%。联合抗菌药物构成为青霉素类348例,占61.3%;大环内酯类204例,占36.9%;其他抗菌药物16例,占2.8%。临床应用于急性上呼吸道感染、肠胃炎、扁桃体炎、咽炎、中耳炎、外伤预防感染。结论:头孢他美酯干混悬剂应用存在用药指征不明确、不恰当、不必要联合用药、选药档次过高等问题。

Objective： To investigate the problems of Cefetamet Pivoxil Hydrochloride for Suspension （CPHS） usd by pediatric outpatient.Methods：1 756 cases of pediatric outpatient using CPHS from January to December in 2006 were checked randomly. According to the usage, dosage, adaptability, combined medicament, the clinical application of CPHS was analyzed. Results： Single-drug 1 188 cases, consisted of 67.7%.Two-drugs 564 cases, 32.1%.Three-drugs 4 cases, 0.2%.The consist of antibiotics was penicillins 348 cases （61.3%）, macrolides 204 cases （36.9%）, other antibiotics 16 cases （2.8%）. CPHS was used for upper respiratory tract infection, gastroenteritis, tonsillitis, pharyngitis, otitis media, injury infection prevention clinically. Conclusion： There are many problems in the application of CPHS, for example, without definite indications of medication, unsuitable and unnecessary drug combination, and too high grade of drugs.