儿科住院病例抗菌药物使用情况分析及干预措施

Analysis and intervention measures of antibiotics application in pediatric inpatients

目的探讨儿科住院病例抗菌药物使用情况及干预措施。方法选取2021年7月至12月盐城市妇幼保健院收治的762例儿科住院病例资料,统计患儿的个人信息与抗菌药物应用情况。结果注射用拉氧头孢钠(348例)是患儿住院期间应用最多的抗菌药物,占比42.13%。抗菌药物单一用药698例,二联用药64例。抗菌药物不合理应用63例,占比8.27%;其中给药疗程不合理29例,无指征使用抗菌药物18例,选用药物不适宜10例,联合用药不适宜6例。结论儿科住院患儿多采用抗菌药物治疗,这与儿童疾病的特征存在一定相关性,但存在抗菌药物应用不合理的现象,临床需提高警惕,实施有效的干预措施,促进抗菌药物合理使用。

Objective To investigate the application of antibiotics in pediatric inpatients and its intervention measures.Methods The data of 762 pediatric inpatients admitted to Yancheng Maternal and Child Health Hospital were collected,and the personal information and application of antibiotics of the children were counted.Results Latamoxef Sodium for Injection(348 cases)was the most frequently used antibacterial drug during hospitalization,accounting for 42.13%.A total of 698 cases were treated with monotherapy of antibiotic and 64 cases were treated with dual antibiotics.There were 63 cases(8.27%)of unreasonable application of antibiotics.Among them,there were 29 cases with unreasonable course of administration,18 cases with application of antibiotics without indication,10 cases with inappropriate drug selection,and 6 cases with inappropriate drug combination.Conclusion Most of the pediatric inpatients are treated with antibiotics,which has a certain correlation with the characteristics of children’s diseases,but unreasonable application of antibiotics exists.Therefore,it is necessary to be vigilant and implement effective intervention measures to promote reasonable application of antibiotics.