中等职业学校急性上呼吸道感染合理用药情况分析
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摘要
目的探讨中等职业学校急性上呼吸道感染患者临床应用抗菌药物的合理性。方法选取2014年8月～2018年7月我校医务室5500例上呼吸道感染师生为研究对象,回顾性分析其临床资料,统计患者白细胞计数、应用抗菌药物情况、药物应用合理性以及临床疗效。结果抗菌药物使用率为70.02%,DUI均<1,口服用药比例为59.88%,注射用药比例为40.12%。应用抗菌药物患者治疗总有效率明显高于未应用抗菌药物患者,差异有统计学意义(P <0.05)。结论中等职业学校合理用药能够有效加快患者的康复,提高了有效率,确保了患者的用药安全。
Objective To explore the rationality of clinical application of antimicrobial agents in patients with acute upper respiratory tract infection in secondary vocational schools. Methods 5500 patients with upper respiratory tract infection in the infirmary of our hospital from August 2014 to July 2018 were selected as research objects.Clinical data of them were retrospectively analyzed to count white blood cell count,the use of antimicrobial agents, rationality of drug use and clinical curative effects. Results The usage rate of antimicrobial agents was 70.02%,and DUI was less than1.The proportion of oral medication was 59.88% and the proportion of injectable drug was 40.12%.The total effective rate of patients treated with antimicrobial agents was significantly higher than that of patients without antimicrobial agents,and the difference was statistically significant(P < 0.05). Conclusion Rational drug use in secondary vocational schools can effectively accelerate the rehabilitation of patients,improved the effective rate and ensure the safety of drug use.
Objective To explore the rationality of clinical application of antimicrobial agents in patients with acute upper respiratory tract infection in secondary vocational schools. Methods 5500 patients with upper respiratory tract infection in the infirmary of our hospital from August 2014 to July 2018 were selected as research objects.Clinical data of them were retrospectively analyzed to count white blood cell count,the use of antimicrobial agents, rationality of drug use and clinical curative effects. Results The usage rate of antimicrobial agents was 70.02%,and DUI was less than1.The proportion of oral medication was 59.88% and the proportion of injectable drug was 40.12%.The total effective rate of patients treated with antimicrobial agents was significantly higher than that of patients without antimicrobial agents,and the difference was statistically significant(P < 0.05). Conclusion Rational drug use in secondary vocational schools can effectively accelerate the rehabilitation of patients,improved the effective rate and ensure the safety of drug use.
引文
[1]王富海,张爱珍,曾彩贤,等.806例上呼吸道感染患儿临床抗菌药物使用的合理性分析[J].抗感染药学,2017,14(5):921-924.
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[4]武轶群,席韩旭,张洋,等.北京市三级综合医院急性上呼吸道感染患者抗菌药使用情况分析[J].北京大学学报(医学版),2014,46(3):435-439.
[5]杨瀚春,贾文超,袁洪泽,等.某三乙医院2010-2014年头孢菌素类抗菌药物应用分析[J].创伤与急危重病医学,2016,4(3):172-175.
[6]陈文娟.小儿抗菌药物的合理应用及患儿家长对抗菌药物应用的认知程度调查分析[J]甘肃医药,2016,35(3):230-231.
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[8]洪保国.150例患者抗生素合理使用情况分析-江西省余江县潢溪镇中心卫生院呼吸道感染用药[J].药品评价,2016,13(18):58-60.
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[10]王丽萍,陈杏,彭燕,等.2016年武汉大学人民医院热毒宁注射液的使用合理性分析[J].现代药物与临床,2018,33(2):417-419.
[11]张志清.国内抗菌药物应用现状及实施抗菌药物合理应用干预的可行性与难点[J].中国药房,2014,17(12):229.
[12]李鸿宾.急诊治疗上呼吸道感染的用药合理性分析[J].系统医学,2018,3(3):138-140.
[13]卢敏利,韩秋菊.急性上呼吸道感染治疗中抗生素处方策略的应用分析[J].中国药房,2016,8(5):143.
[14]章幽芳,郑雪辉,应琴.某三甲医院2010年儿科门诊上呼吸道感染抗生素使用情况分析[J].中国乡村医药,2015,20(13):276.
[15]肖威.急性上呼吸道感染患者抗生素使用情况现状及用药建议[J].中国卫生产业,2017,14(23):27-28.
[2]孙黎明.医院对儿科抗菌药物合理应用的干预效果研究[J].中国医药科学,2016,6(15):47-49.
[3]谢新鑫,杨青延.2004~2015年中国儿童抗菌药物使用情况分析[J].中南医学科学杂志,2016,44(2):130-134.
[4]武轶群,席韩旭,张洋,等.北京市三级综合医院急性上呼吸道感染患者抗菌药使用情况分析[J].北京大学学报(医学版),2014,46(3):435-439.
[5]杨瀚春,贾文超,袁洪泽,等.某三乙医院2010-2014年头孢菌素类抗菌药物应用分析[J].创伤与急危重病医学,2016,4(3):172-175.
[6]陈文娟.小儿抗菌药物的合理应用及患儿家长对抗菌药物应用的认知程度调查分析[J]甘肃医药,2016,35(3):230-231.
[7]徐鹏,林荣军.儿童急性上呼吸道感染抗生素使用现状调查分析[J].儿科药学杂志,2015,21(7):47-49.
[8]洪保国.150例患者抗生素合理使用情况分析-江西省余江县潢溪镇中心卫生院呼吸道感染用药[J].药品评价,2016,13(18):58-60.
[9]巴哈尔古丽·拜科日.合理用药在急性上呼吸道感染中的重要性[J].当代临床医刊,2017,30(3):3135-3136.
[10]王丽萍,陈杏,彭燕,等.2016年武汉大学人民医院热毒宁注射液的使用合理性分析[J].现代药物与临床,2018,33(2):417-419.
[11]张志清.国内抗菌药物应用现状及实施抗菌药物合理应用干预的可行性与难点[J].中国药房,2014,17(12):229.
[12]李鸿宾.急诊治疗上呼吸道感染的用药合理性分析[J].系统医学,2018,3(3):138-140.
[13]卢敏利,韩秋菊.急性上呼吸道感染治疗中抗生素处方策略的应用分析[J].中国药房,2016,8(5):143.
[14]章幽芳,郑雪辉,应琴.某三甲医院2010年儿科门诊上呼吸道感染抗生素使用情况分析[J].中国乡村医药,2015,20(13):276.
[15]肖威.急性上呼吸道感染患者抗生素使用情况现状及用药建议[J].中国卫生产业,2017,14(23):27-28.