急性上呼吸道感染患者临床应用抗菌药物合理性的综合分析

Analysis of the antibiotics rational usage in patients with acute upper respiratory tract infection in emergency department

目的:了解急诊就诊的上呼吸道感染患者抗菌素使用情况,指导临床合理用药。方法:随机抽取我院急诊2010-12-2011-04首诊为急性上呼道感染的处方980张,回顾性调查抗菌素应用情况。结果:抗菌药物使用率为78.37%,其中外周血白细胞计数及分类正常的处方抗菌药物使用率为63.71%,未进行外周血检查的处方抗菌药物使用率为61.54%。一联用药占93.50%。应用抗菌药物7类16种。结论:急性上呼吸道感染患者抗菌药物使用存在不合理现象,应对临床医生加强合理用药的培训和管理。

Objective：To investigate the usage of the antibiotics in patients with acute upper respiratory tract infection in emergency department.Method：Nine hundred and eighty prescriptions of patients with acute upper respiratory tract were randomly chosen from the emergency department from Dec 2010 to Apr 2011,and the antibiotics usage were reviewed and analyzed.Result：The usage rate of antibiotics is 78.37%.The single usage rate of antibiotics stood at 93.50%.7 varieties and 16 kinds of antibiotics were involved,and the Azithromycin take the first place in terms of DDDs and consumption sum.Conclusion：The usage of antibiotics in emergency patients with acute upper respiratory tract infection is somewhat irrational,the standardized management should be strengthened.