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目的:对儿科临床抗生素使用情况进行调查和分析,为提高用药合理性供参考依据。方法:对金华中心医院2012年4月~2015年4月期间收治的1314例儿科患者的临床资料进行分析,以其中涉及抗生素应用的患儿作为研究对象。这些患者临床抗生素使用情况进行全面分析。结果:在这些患者中有860例涉及到抗生素的使用,使用率65.45%。调查发现单独用药患者427例(49.65%),二联用药患者294例(34.18%),三联用药患者97例(11.27%),四联用药患者42例(4.88%)。在这次调查中共涉及到抗生素类药物28个品种,使用的抗生素主要以青霉素类、头孢类及大环内酯类药物为主。结论:抗生素在儿科临床应用中基本上趋于合理,但是仍有部分需要改进的地方,需要加强对抗生素类药物的管理,提高抗生素类药物使用的合理性。
Objective: To investigate and analyze the use of pediatric clinical antibiotics in order to improve the rationality of medication for reference. Methods: The clinical data of 1314 pediatric patients admitted from April 2012 to April 2015 in Jinhua Central Hospital were analyzed. Among them, the children with antibiotics were included in the study. A thorough analysis of the clinical antibiotic use of these patients was conducted. Results: Of these patients, 860 involved the use of antibiotics, with a usage of 65.45%. The survey found that 427 patients (49.65%), 294 patients (34.18%) in combination therapy, 97 patients (11.27%) in triple therapy and 42 patients (4.88%) in quadruple therapy. A total of 28 antibiotic drugs were involved in the survey. The antibiotics used were mainly penicillins, cephalosporins and macrolides. CONCLUSIONS: Antibiotics tend to be rational in pediatric clinical practice, but there are still some areas that need improvement. The management of antibiotics should be strengthened and the rationality of antibiotic use should be improved.