江苏省性病监测点治疗淋病使用抗生素情况调查

发布时间：2018-02-28 15:33

本文关键词： 淋病抗生素头孢类抗生素治疗性病　出处：《南京医科大学学报(自然科学版)》2014年01期 　论文类型：期刊论文

【摘要】：目的:分析江苏省临床医生治疗淋病使用抗生素的情况,为制订淋病的防治策略提供科学依据。方法:采用整群抽样、面对面访问的方法,对全省13个性病监测点的195名临床医生临床治疗淋病使用抗生素情况进行了调查,使用Logistic回归模型进行多因素分析。结果:在调查的195名临床医生中,联合用药的占56.41%,联合用药中以国家指南作为依据的为88名,占到80%,合并其他感染和个人经验和习惯的分别占了18.19%和1.82%;以头孢作为首选药治疗的占87.69%;医生所在医院类别和所在科室类别对淋病治疗用药的影响较大(P0.05);在多因素分析中,皮肤病医院多倾向于联合用药(P0.001),并倾向于使用除头孢曲松钠以外的其他头孢类抗生素治疗淋病(P0.001),皮肤科医生在联合用药时更喜欢按照个人习惯和经验而不是按照国家指南来治疗淋病(P0.05)。结论:临床医生对淋病治疗标准的掌握还有欠缺,尤其是应加强皮肤病性病医院和医生治疗淋病临床用药的培训,不断提高淋病的诊疗水平,更好地控制性病艾滋病在我省的传播。
[Abstract]:Objective: to analyze the use of antibiotics in the treatment of gonorrhea by clinical doctors in Jiangsu Province, and to provide scientific basis for formulating the prevention and treatment strategy of gonorrhea. Methods: cluster sampling and face to face visit were used. The use of antibiotics in clinical treatment of gonorrhea was investigated among 195 clinicians in 13 STD surveillance sites throughout the province, and multivariate analysis was carried out by using Logistic regression model. Results: among 195 clinicians surveyed, Among them, 56.41 were used in combination and 88 were based on national guidelines. Accounting for 80%, 18.19% and 1.82 of other infections and personal experiences and habits, respectively; 87.69 percent of patients treated with cephalosporal as the first drug; the type of hospital where the doctor is in and the type of department where the doctor has a greater influence on the treatment of gonorrhea; and in the multivariate analysis, Dermatologists tend to use combination drugs (P0.001g) and ceftriaxone antibiotics (other than ceftriaxone sodium) for gonorrhea. Dermatologists are more likely to follow their personal habits and experiences rather than follow the guidelines for the treatment of gonorrhea. National guidelines for the treatment of gonorrhea P0.05.Conclusion: clinicians still have a lack of mastery of the criteria for the treatment of gonorrhea. In particular, we should strengthen the training of clinical medication for gonorrhea in dermatological STD hospitals and doctors, improve the level of diagnosis and treatment of gonorrhea, and better control the spread of STDs and AIDS in our province.
【作者单位】：江苏省疾病预防控制中心性病艾滋病防制所;
【基金】：江苏预防医学项目(Y201029)
【分类号】：R759.2

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