急性上呼吸道感染患者抗菌药物应用的回顾性分析

Cases of acute upper respiratory tract infection Antibiotics in a retrospective analysis

目的：分析急性上呼吸道感染患者抗菌药物的合理性应用.方法：对本院2010年6月份520例上呼吸道感染患者的门急诊处方进行回顾性分析.结果：520张处方中,应用抗菌药物450例,使用率为66.5%,多为单一口服用药,部分联合静脉滴注左氧氟沙星注射液或者头孢曲松、头孢唑林等.阿莫西林分散片居首位,其次为大环内脂类的阿奇霉素分散片、罗红霉素颗粒、喹诺酮类的左氧氟沙星、头孢菌素类、B-内酰胺类加酶抑制剂.结论：我院医师在治疗急性上呼吸道感染时,这种滥用现象值得重视.医院更应加强对临床医师抗菌药物知识的培训与再教育,提高抗菌药物的临床合理应用水平.

Objective：Patients with acute upper respiratory tract infection rational application of antibiotics. Methods：A hospital in June X010 of 520 cases of upper respiratory tract infection in outpatient and emergency patients were retrospectively analyzed prescription. Results： 520 prescriptions, 450 cases of antimicrobial agents, the use rate was 86.5%, mostly with intravenous administration of a single drug. Upper respiratory tract infection rate of cephalosporin antimicrobial drugs ranked first, followed by macrolides and penicillins. Slightly more adverse reactions caused by drug use. Conclusion：The hospital physicians in the treatment of acute upper respiratory tract infection, hospital clinicians should strengthen the training of antibiotics and re-education knowledge and improve the rational use of antimierobial agents in the clinical level.