我院儿科手足口病住院患儿用药分析

Analysis of Drug Use in Hospitalized Children with Hand-Foot-Mouth Disease in Our Hospital

目的:了解我院儿科手足口病住院患儿的用药情况,探索治疗手足口病及其并发症的有效方案,促进儿科临床合理用药,并保证患儿用药安全。方法:在2012年6月至2013年5月我院儿科手足口病出院病例中,随机抽取100份电子病历,对其用药情况及合理性进行分析。结果:我院儿科手足口病治疗以利巴韦林为主,采用中西医结合治疗,适当给予免疫增强剂。经治疗全部患儿治愈,无后遗症及并发症发生,但抗菌药物使用率高达93.0%,以第三代头孢菌素为主,存在一定的滥用现象。结论:应严格按照药物使用指征用药,加强抗菌药物使用监督,降低不合理用药发生率,保证儿童用药安全。

Objective： To understand the situations of drug utilization in hospitalized children with hand-foot-mouth disease in pediatrics, to explore the effective therapy for hand-foot-mouth disease and its complications, to encourage the clinical rational drug use, and to ensure the medication safety of patients. Methods： One hundred confirmed cases in our hospital from June 2012 to May 2013 were chosen randomly to perform an analysis of drug use. Results： Patients with hand-foot-mouth disease in our hospital were treated m,inly with antiviral drugs. Integrated traditional Chinese medicine and Westeru medicine were used. Immuno-enhancers were given properly. All children were recovered without sequelae and complications. T^ie antibiotic utilization rate reached 93.0%. The third generation cephalosporins were often chosen. There were some drug abuses. Conclusions： Medicines should be used strictly according toindications. The supervision of antimicrobial drug use should be strengthened to decrease the incidence of unreasonable drug use and to ensure the medication safety of children.