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

发布时间：2018-04-25 04:27

本文选题：呼吸道感染 + 抗菌药　；参考：《北京大学学报(医学版)》2014年03期

【摘要】：目的:了解北京市三级综合医院急性上呼吸道感染患者抗菌药的使用情况。方法:利用北京市10所三级综合医院城镇职工基本医疗保险数据资料,选取其中诊断为急性上呼吸道感染的急诊病例作为研究样本,对抗菌药的使用频率及种类进行描述和分析。结果:共纳入135 979例急性上呼吸道感染急诊病例资料,病例年龄为(43.6±16.2)岁,男性占42.7%。抗菌药的总使用率为71.2%(95%CI 71.0%~71.5%),大部分(80.0%,95%CI 79.7%~80.2%)为单独用药,其中急性扁桃体炎的抗菌药使用率最高为85.1%(95%CI 84.5%~85.6%),其余依次为急性喉炎和气管炎81.6%(95%CI 80.4%~82.8%)、急性会厌炎81.4%(95%CI 77.7%~85.0%)、急性鼻窦炎77.0%(95%CI 74.6%~79.4%)、急性鼻咽炎74.3%(95%CI 73.7%~75.0%)、普通感冒67.6%(95%CI 67.3%~67.9%)。男性的抗菌药使用率略高于女性(73.2%,95%CI 72.8%~73.6%vs.69.7%,95%CI 69.4%~70.0%),60岁及以上病例抗菌药的使用率低于60岁以下者(72.1%,95%CI 71.8%~72.3%vs.66.8%,95%CI 66.2%~67.5%)。在使用抗菌药的病例中,有50.6%(95%CI 50.3%~50.9%)的病例使用了注射用抗菌药。抗菌药的应用种类以第二代头孢菌素类药物应用最多(28.4%),其余依次为第三代头孢菌素类(21.7%)、氟喹诺酮类(21.0%)和大环内酯类(17.6%)。结论:北京市综合医院急性上呼吸道感染病例抗菌药使用比例较高,所用抗菌药以第二、三代头孢菌素、氟喹诺酮类和大环内酯类药物为主。
[Abstract]:Objective: to investigate the use of antimicrobial agents in acute upper respiratory tract infection patients in Beijing tertiary general hospital. Methods: based on the data of basic medical insurance for urban workers in 10 tertiary general hospitals in Beijing, the emergency cases diagnosed as acute upper respiratory tract infection were selected as the study samples. The frequency and type of use of antimicrobial agents were described and analyzed. Results: 135,979 patients with acute upper respiratory tract infection were included in the study. The age of the cases was 43.6 卤16.2 years old, and the male was 42.7 years old. The total utilization rate of antimicrobial drugs was 71.0% and 71.5% of 71.2%(95%CI. Most of them were used alone, and most of them included 80.095% of CI 79.7% and 80.2% of them. In acute tonsillitis, the highest use rate of antimicrobial agents was 85.1%(95%CI 84.5am 85.65.6am, the rest was acute laryngitis and tracheitis 81.6%(95%CI 80.44.82.8cm, acute epiglottitis 81.4%(95%CI 77.75.00, acute sinusitis 77.0%(95%CI 74.69.4, acute rhinopharyngitis 74.3%(95%CI 73.77.75.00, 67.6%(95%CI 67.37.9. The utilization rate of antimicrobial drugs in males was slightly higher than that in females (73.2cm) and 73.6v / 69.7/ 95CI69.4c / 95 CI 69.4. the use rate of antimicrobials in patients aged 60 and above was lower than that in patients under 60 years of age (72.1ci 71.8vs.66.8CI 956.2and 67.5.) in the patients under 60 years of age, the use rate of antimicrobials was lower than that of 72.1CI 71.82.8vs.66.8CI 956.2and 67.5% of the patients below the age of 60. Of the cases using antibiotics, 50.6%(95%CI 50.3 and 50.9 were used for injection. The second generation cephalosporins were used in the second generation. The others were the third generation cephalosporins 21. 7710, fluoroquinolones 21. 0%) and macrolides 17. 6%. Conclusion: the proportion of antimicrobial agents used in acute upper respiratory tract infection in Beijing General Hospital is high. The second and third generation cephalosporins, fluoroquinolones and macrolides are the main antibiotics used.
【作者单位】：北京大学公共卫生学院流行病与卫生统计学系;北京大学公共卫生学院卫生政策与管理学系;
【分类号】：R56

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