Single Center Investigation of Application of Antibiotics before Outpatient Visit in Pediatrics

Fu Huiling; Han Changqing; Tong Jiaxi; Jiao Shuzhen; Lyu Rong

doi:10.13407/j.cnki.jpp.1672-108X.2020.06.010

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Single Center Investigation of Application of Antibiotics before Outpatient Visit in Pediatrics

更新时间：2022-11-03

- Single Center Investigation of Application of Antibiotics before Outpatient Visit in Pediatrics
- Vol. 26, Issue 6, Pages: 29-31(2020)
- 作者机构：
  
  1. 西安医学院第一附属医院,陕西,西安,710077
  2. 西安医学院卫生管理学院,陕西,西安,710021
- 作者简介：
- 基金信息：
- DOI：10.13407/j.cnki.jpp.1672-108X.2020.06.010
  CLC：
- Published：2020，
  
  Published Online：10 June 2020，
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Fu Huiling, Han Changqing, Tong Jiaxi, et al. Single Center Investigation of Application of Antibiotics before Outpatient Visit in Pediatrics. [J]. 26(6):29-31(2020)
DOI：

Fu Huiling, Han Changqing, Tong Jiaxi, et al. Single Center Investigation of Application of Antibiotics before Outpatient Visit in Pediatrics. [J]. 26(6):29-31(2020) DOI： 10.13407/j.cnki.jpp.1672-108X.2020.06.010.

摘要

目的：调查我院儿科2018年3-4月门诊患儿就诊前抗生素使用现状。方法：由医师发放调查表，家属自愿如实填写。收集患儿年龄、性别、症状、就诊前是否服用抗生素、首剂抗生素与症状出现时限、服用时长、抗生素种类及来源等相关信息进行统计学分析。结果：入选的患儿共187例，使用抗生素者155例，占82.89%；未使用者32例，占17.11%。抗生素使用率细菌组与病毒组分别为81.43%、84.07%（P>0.05）；幼儿组、学龄前期组及学龄期组患儿抗生素使用率分别为88.46%、86.42%、84.61%，高于婴儿组（P<0.05）；单独使用者占85.16%，联合应用占14.84%。单独使用率由高到低分别为头孢菌素类58.71%、青霉素类21.93%、大环内酯类4.52%（P<0.05）。抗生素来源分别为药店购买（28.38%）、社区医师处方（27.10%）、家里储备（20.65%）、上次生病所剩（23.87%）4个途径（P>0.05）。首剂抗生素应用时限<12 h组应用率44.52%，明显高于12~24 h组的29.68%和>24 h组的25.81%（P <0.05）。结论：儿科患者就诊前抗生素应用存在滥用、不规范、不合理现象，应加强宣教及监管。

Abstract

Objective: To investigate the application status of antibiotics before outpatient visit in pediatrics of our hospital from Mar. to Apr. 2018. Methods: The questionnaire was issued by the clinicians

and the family members voluntarily filled in the truth. Statistical analysis was conducted on children’s age

gender

symptoms

administration of antibiotics before visit

duration of the first dose of antibiotics and the onset of symptoms

duration of the treatment

categories and source of antibiotics. Results: A total of 187 children were enrolled

155 cases (82.89%) were given antibiotics

and 32 cases (17.11%) received no antibiotics. The application rates of antibiotics in the bacterial group and viral group were respectively 81.43% and 84.07% (P>0.05). The application rates of antibiotics in the toddler

preschool and school-age group were respectively 88.46%

86.42% and 84.61%

higher than those in the infant group (P<0.05). The proportion of single application of antibiotics accounted for 85.16% and drug combination accounted for 14.84%. The single application rate of antibiotics were 58.71% for cephalosporins

21.93% for penicillins and 4.52% for macrolide (P<0.05). The sources of antibiotics were respectively pharmacy purchases (28.38%)

prescriptions by community clinicians (27.10%)

home reserves (20.65%)

and the remaining drugs (23.87%

P>0.05). The application rate of the first dose of antibiotics in the <12 h group was 44.52%

significantly higher than that in the 12 to 24 h group (29.68%) and the >24 h group (25.81%

P<0.05). Conclusion: The application of antibiotics in children before outpatient visit is abusive

non-standard and irrational. Therefore

the propaganda

education and supervision should be strengthened.

关键词

儿科门诊抗生素

Keywords

pediatricsoutpatientantibiotics

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