新医改前后我国儿童上呼吸道感染抗生素使用率的Meta分析

发布时间：2018-03-04 08:17

  本文选题：上呼吸道感染　切入点：儿童　出处：《中国药学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的采用Meta分析了解我国近16年来上呼吸道感染(以下简称上感)患儿抗生素使用率情况,从而评价新医改以来国家颁布的有关合理用药政策的有效性。方法检索相关期刊论文(CNKI)、维普(VIP)、万方中有关中国儿童上呼吸道感染抗生素使用率的研究文献,在Pubmed、Ebsco、Web of Science、Embase中检索研究现场为中国大陆地区的外文文献并进行Meta分析,同时通过文献研究时间、地区和机构类别来进行对比研究。结果符合入选标准文献共32篇,总样本量54 189例。经Meta分析发现,我国儿童上感抗生素使用率合并值为89.2%(95%CI=82.22%~96.2%)。2009年前后儿童上感抗生素使用率分别为92.2%和87.6%;东部、中部和西部儿童上感抗生素使用率分别为88.3%、88.4%和93.3%;三级医院、二级医院及基层医疗机构(包括一级医院、社区卫生服务中心和乡镇卫生院)儿童上感抗生素使用率分别为85.2%、92.2%和90.2%。结论我国儿童上感抗生素使用率相对较高,且在不同时间、地区和医疗机构类别间使用率存在差别,医改政策颁布后其使用率下降,可能与政策实施有一定相关性。
[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.
【作者单位】： 湖北大学政法与公共管理学院;湖北大学校医院;
【基金】：国家自然科学基金资助项目(71203058)
【分类号】：R725.6
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本文编号：1564858