论文部分内容阅读
目的调查乡镇卫生院抗生素使用情况,促进乡镇卫生院抗生素合理使用,以减少抗生素的耐药及肺结核病的误诊。方法采用病例回顾的方法,调查某市7个乡镇卫生院2010年肺部疾病住院病人抗生素使用情况。结果 97.1%的患者使用了抗生素,使用时间中值为8.4 d。不同年龄段人群的抗生素使用率、使用时间差异有统计学意义(P<0.05)。使用率排列前4位的抗生素为头孢、左氧氟沙星、阿奇霉素和青霉素,且使用率、使用时间差异均有统计学意义(P<0.05)。不同年龄段人群4种抗生素的使用率、使用时间差异均有统计学意义(P<0.05)。不同肺部疾病抗生素使用率、使用时间差异有统计学意义(P<0.05)。结论乡镇卫生院抗生素使用仍有不合理之处,需要进一步规范,以避免抗生素滥用,减少抗生素的耐药及肺结核病的误诊。
Objective To investigate the use of antibiotics in township hospitals and promote the rational use of antibiotics in township hospitals so as to reduce the misdiagnosis of antibiotic resistance and tuberculosis. Methods The method of case review was used to investigate the antibiotic use of inpatients with pulmonary diseases in 7 township health centers in one city in 2010. Results 97.1% of patients used antibiotics, median use time was 8.4 d. The antibiotic use rate and the time of using antibiotics in different age groups were statistically different (P <0.05). The top 4 antibiotics used were cephalosporin, levofloxacin, azithromycin and penicillin, and the differences in the rates of use and use were statistically significant (P <0.05). There were significant differences in the usage rates and the time of using the four antibiotics among different age groups (P <0.05). There were significant differences in antibiotic use rates and duration of use between different lung diseases (P <0.05). Conclusion The use of antibiotics in township hospitals is still unreasonable and need to be further regulated to avoid the abuse of antibiotics and reduce the misdiagnosis of antibiotic resistance and tuberculosis.