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教学医院急诊不同级别医师抗菌药选用调查

Survey of Application of Antibacterial Agents by Doctors in Different Professional Titles in Department of Emergency of our Hospital
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摘要 目的:了解某教学医院急诊不同级别医师治疗急诊常见感染性疾病时,抗菌药的选择。方法:抽取2005年上半年急诊处方459张,按医师级别分为高级职称(A组)、中级职称(B组)、初级职称(C组)、进修医师(D组)等4组,对急性上呼吸道感染、急性感染性腹泻、外伤等治疗选用的抗菌药进行统计分析。结果:急性上呼吸道感染各组首选药物为青霉素或大环内酯类,A组占82.93%,B组49.36%,C组占35%。急性感染性腹泻选择首选喹诺酮类,A组87.5%,B组55%,C组72.19%。外伤感染组,使用首选药物青霉素类仅为2.08%。选药种数方面,三种疾病A组均较B、C、D组选用抗菌药种数少。结论:不同级别医师在选药针对性方面有差别,高级职称医师较低级职称医师强。 Objective: To investigate the application of antibacterial gents by doctors in the department of emergency of our hospital to several infective diseases. Method: 459 prescriptions from the department of emergency in the first half of 2005 were divided into four groups ( Group A, Group B, Group C and Group D) according to doctors' different professional titles. In Group A the prescriptions were written by high-grade doctors, in Group B, by middle-level doctors, in Group C, by primary doctors and in Group D, by studying doctors. The application of antibacterial agents to acute upper respiratory infections, acute infection diarrhea and injuries were analyzed. Result: Acute upper respiratory infections: the percentage of penicillin and macrocyclic was 82193% in Group A, 49.36% in Group B and 35.00% in Group C. Acute infection diarrhea: the percentage of Quinolone was 87.50% in Group A, 55.00% in Group B and 71.19% in Group C. The percentage of Penieillin for injuries was only 2.08%. The kinds of drugs in Group A were not so many as those in Group B, Group C and Group D. Canclusion: There is significant difference among the doctors of different grades in their choices of antibacterial agents. The choices of antibiotics by high grade doctors is more reasonable than those by low-grade doctors.
出处 《药物流行病学杂志》 CAS 2006年第5期295-297,共3页 Chinese Journal of Pharmacoepidemiology
关键词 抗菌药 急性上呼吸道感染 急性感染性腹泻 外伤 不同级别医师 调查 Antibiotics Acute upper respiratory tract infection Acute infection diarrhea Injury Doctors in different professional titles Survey
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