213例儿科呼吸道感染患者抗生素使用情况分析

The Analysis of Utilization of Antibiotics in Children with Respiratory Tract Infection

目的分析我院儿科呼吸道感染住院患儿抗生素使用情况,为合理应用抗生素提供参考。方法回顾性分析我院儿科2010年6月至2011年6月间收治的213例呼吸道感染患儿的病例资料,用药物利用指数(DUI)作为合理用药标准,分析其抗生素的使用情况。结果 213例呼吸道感染患儿均使用过抗生素治疗(100%),使用抗生素12种,其中3种(25%)药物使用不合理;有75例(35.2%)连用两种以上抗生素;有89例(41.8%)患儿同时使用了激素类药物;下呼吸道感染患儿药物不合理使用率及抗生素联用率分别高于上呼吸道感染者(P<0.05)。结论儿科呼吸道感染患者抗生素合理使用情况总体来满意,但仍有待改进;下呼吸道感染患儿较上呼吸道感染者更易出现抗生素使用不合理的情况,应引起临床医生的注意。

Objective To analyse the use of antibiotics in children with respiratory tract infection in our hospital and provide reference to reasonable use of antibiotics.Method Retrospective analysed 213cases with respiratory tract infection,explore the use of antibiotics as the drug utilization index（DUI） for standards.Result All of the cases accepted the antibiotics treatment（100%）,3 of 12 kinds of antibiotics were unreasonable（25%）;75 cases were treated with two kinds of antibiotics（35.2%）;89 cases were combined with hormone（41.8%）;the irrational use of antibiotics rates of children with lower respiratory tract infection were significant higher than of up respiratory tract infection（P0.05）.Conclusion To improve the condition of use of antibiotics,clinician should pay more attention to the children with lower respiratory tract infection.