摘要
目的了解哈尔滨市部分医院猩红热病例的诊断与临床用药治疗情况,为猩红热的预防控制提供科学依据。方法采用定量与定性研究相结合的方法,首先,按照等比例的原则随机抽取113例病例,收集其基本信息、发病的症状或体征、实验检测及用药处方等信息。同时,每家医院选择2名医师进行深度访谈。结果四所医院共调查113例病例,男性比例为66%,最小年龄为1岁,最大年龄为21岁。符合病例定义共有100例,A和D医院的诊断符合率最高。共84例病例进行了血常规检查,并使用了抗生素进行治疗,其中B和C医院抗生素使用比例最高,C医院最低,45名病例使用头孢类抗生素治疗,30名病例使用青霉素抗生素。结论猩红热的临床样本采样率较低,而且细菌培养阳性率也非常低。同时,临床用药治疗方面存在抗生素滥用、青霉素使用比例低且使用时间未达到要求及耐药现象比较突出等问题。
Objective To understand the diagnosis and clinical treatment of scarlet fever patients in some hospitals in Harbin and provide a scientific evidence for scarlet fever control and prevention.Methods Quantitative and qualitative methods were used together.Firstly,113 cases were chosen randomly to collect the basic information,clinical manifestations,and lab testing results and prescription information,while two doctors at each hospital were chosen for in-depth interviews.Results 113 patients were investigated in 4 hospitals,and the proportion of males was 66%,and the range of the age was 1 to 21 years.100 cases met the case definition,with A and D hospital had high accordance rate.84 cases had blood test,and used antibiotics for treatment,of which the highest proportion in B and C hospital,and the lowest in C hospital,and 45 cases used cephalosporin for treatment,while 30 cases used penicillin antibiotics.Conclusions the rate of clinical sampling for scarlet fever diagnosis was low,and rate of testing positive was low too.There is a problem in the treatment of scarlet fever patients,including the abuse of antibiotics,the low proportion of penicillin,and the resistance of drugs used.
出处
《中国医药指南》
2012年第26期415-417,共3页
Guide of China Medicine
关键词
猩红热
诊断
临床用药
治疗
Scarlet fever
Diagnosis
Prescription
Treatment
