本文選題：上呼吸道感染　切入點：兒童　出處：《中國藥學雜志》2017年10期 　論文類型：期刊論文

【摘要】：目的采用Meta分析了解我國近16年來上呼吸道感染(以下簡稱上感)患兒抗生素使用率情況,從而評價新醫(yī)改以來國家頒布的有關合理用藥政策的有效性。方法檢索相關期刊論文(CNKI)、維普(VIP)、萬方中有關中國兒童上呼吸道感染抗生素使用率的研究文獻,在Pubmed、Ebsco、Web of Science、Embase中檢索研究現(xiàn)場為中國大陸地區(qū)的外文文獻并進行Meta分析,同時通過文獻研究時間、地區(qū)和機構類別來進行對比研究。結果符合入選標準文獻共32篇,總樣本量54 189例。經(jīng)Meta分析發(fā)現(xiàn),我國兒童上感抗生素使用率合并值為89.2%(95%CI=82.22%~96.2%)。2009年前后兒童上感抗生素使用率分別為92.2%和87.6%;東部、中部和西部兒童上感抗生素使用率分別為88.3%、88.4%和93.3%;三級醫(yī)院、二級醫(yī)院及基層醫(yī)療機構(包括一級醫(yī)院、社區(qū)衛(wèi)生服務中心和鄉(xiāng)鎮(zhèn)衛(wèi)生院)兒童上感抗生素使用率分別為85.2%、92.2%和90.2%。結論我國兒童上感抗生素使用率相對較高,且在不同時間、地區(qū)和醫(yī)療機構類別間使用率存在差別,醫(yī)改政策頒布后其使用率下降,可能與政策實施有一定相關性。
[Abstract]:Objective to investigate the use of antibiotics in children with upper respiratory tract infection (upper respiratory tract infection) by Meta analysis in recent 16 years. Methods to search the full text database of Chinese periodicals, including CNKI, VIPP, and Wanfang on the utilization rate of antibiotics in upper respiratory tract infection of Chinese children, so as to evaluate the effectiveness of the policies on rational use of drugs promulgated by the state since the new medical reform, and to evaluate the effectiveness of the policies on rational use of drugs issued by the state since the new reform. The foreign literature of mainland China was retrieved and analyzed by Meta in the Pubmeda Web of Science and Technology Embase. The results were compared by the time, region and institutional category of the literature. The results were 32 articles of the selected standard, and the results were as follows: (1) the results of the study were as follows: (1) the results of this study were as follows: 1. The total sample size was 54 189 cases. By Meta analysis, we found that the combined value of antibiotics utilization rate of children in our country was 89. 2% 82.22 and 96. 2%. Before and after 2009, the usage rate of upper sensory antibiotics in children was 92.2% and 87.6, respectively, in the east of China. The prevalence rate of antibiotics for children in the central and western regions was 88.388. 4% and 93. 3%, respectively; level 3 hospitals, level 2 hospitals and primary medical institutions (including level 1 hospitals), 85.2% and 90.22.Conclusion the utilization rate of upper sensory antibiotics among children in China is relatively high, and there are differences between regions and categories of medical institutions at different times. After the promulgation of the medical reform policy, its utilization rate decreased, which may be related to the implementation of the policy.
【作者單位】： 湖北大學政法與公共管理學院;湖北大學校醫(yī)院;
【基金】：國家自然科學基金資助項目(71203058)
【分類號】：R725.6
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本文編號：1564858