本文選題：呼吸道感染　切入點(diǎn)：頭孢菌素類　出處：《中華疾病控制雜志》2014年09期 　論文類型：期刊論文

【摘要】：目的了解北京市綜合醫(yī)院急性上呼吸道感染患者頭孢菌素類抗菌藥物的應(yīng)用情況。方法利用北京市十所三級綜合醫(yī)院城鎮(zhèn)職工醫(yī)療保險數(shù)據(jù)資料,選取其中診斷為急性上呼吸道感染的急診病例作為研究樣本,對頭孢菌素類抗菌藥的使用頻率及種類進(jìn)行描述與分析。結(jié)果共納入135 979例急性上呼吸道感染急診病例資料,病例年齡為(43.6±16.2)歲,男性占42.7%。抗菌藥物總體使用率為71.2%,其中頭孢菌素類抗菌藥的使用率為55.3%。急性扁桃體炎頭孢菌素的使用率最高為64.6%,其余依次為急性喉炎和氣管炎63.6%,急性會厭炎59.0%,急性鼻竇炎57.9%,普通感冒53.4%,急性鼻咽炎51.9%。在使用頭孢菌素類抗菌藥的病例中,有45.8%的病例使用了注射劑。頭孢菌素的應(yīng)用種類以第二代應(yīng)用最多(J01DB,56.1%),其余依次為第三代(J01DD,42.8%)、第一代(J01DB,1.2%)和第四代(J01DE,0.0%)。結(jié)論目前我國急性上呼吸道感染病例頭孢菌素使用率較高,需要進(jìn)一步加強(qiáng)對抗菌藥物臨床應(yīng)用的監(jiān)督、檢查和管理。
[Abstract]:Objective to investigate the application of cephalosporins in patients with acute upper respiratory tract infection in Beijing General Hospital. The frequency and types of cephalosporins used in emergency cases of acute upper respiratory tract infection were described and analyzed. Results 135,979 emergency cases of acute upper respiratory tract infection were included. The age of the cases was 43.6 鹵16.2 years old. The total utilization rate of antimicrobial agents was 71.2 and the utilization rate of cephalosporins was 55.3. The highest rate of utilization of cephalosporins in acute tonsillitis was 64.6. the rest were acute laryngitis and tracheitis 63.6, acute epiglottitis 59.0. 57.9% of sinusitis, 53.4% of the common cold, 51.9% of acute nasopharyngitis. In the case of cephalosporins, 45.8% cases were treated with injection. The most commonly used cephalosporins in the second generation were J01DB 56.1, the others were the third generation J01DDD 42.8, the first generation J01DB1.2and the 4th generation J01DE0.00.Conclusion the utilization rate of cephalosporin in the acute upper respiratory infection cases in China is higher than that in the second generation, and the other is J01DB1.2.Conclusion at present, the utilization rate of cephalosporin in the patients with acute upper respiratory infection in China is higher than that in the latter. There is a need to further strengthen the supervision, inspection and management of the clinical application of antimicrobial agents.
【作者單位】： 北京大學(xué)公共衛(wèi)生學(xué)院流行病與衛(wèi)生統(tǒng)計(jì)學(xué)系;北京大學(xué)公共衛(wèi)生學(xué)院衛(wèi)生政策與管理學(xué)系;
【分類號】：R181.3

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