1107例门诊小儿急性化脓性扁桃腺炎抗生素使用情况分析

发布时间：2018-05-09 19:00

本文选题：化脓性扁桃腺炎 + 合理使用抗生素　；参考：《现代医院》2016年01期

【摘要】：目的减少化脓性扁桃腺炎治疗中抗生素的不合理使用。方法回顾性分析医院儿科门诊诊治的化脓性扁桃腺炎病例1 107例。根据抗生素使用疗程分为足疗程组及不足疗程组;根据抗生素使用种类分为阿奇霉素组与非阿奇霉素组。比较足疗程组与非足疗程组、阿奇霉素组与非阿奇霉素组,发病后3个内复发及并发症发生情况。根据其籍贯及国籍分为中国大陆组、港澳台组及外籍组,比较三组抗生素使用不足疗程例数,分析疗程不足的原因。结果足疗程组复发率较不足疗程组明显减少(P0.05),非阿奇霉素组复发率较阿奇霉素组明显增多(P0.05)。中国大陆组的不足疗程发生率比港澳台组及外籍组明显增多(P0.05)。不足疗程主要原因为患者依从性不足,与部分医生对该病的疗程认识问题也有一定关系。结论使用抗生素治疗化脓性扁桃腺炎时应坚持足疗程治疗,同时加强对我国大陆民众宣传合理使用抗生素的知识。
[Abstract]:Objective to reduce the irrational use of antibiotics in the treatment of suppurative tonsillitis. Methods 1 107 cases of suppurative tonsillitis were analyzed retrospectively. According to the course of antibiotic use, it was divided into two groups: foot treatment group and insufficient course group, azithromycin group and non azithromycin group according to the kinds of antibiotics used. The recurrence and complications were compared between foot treatment group and non-foot treatment group, azithromycin group and non-azithromycin group. According to their nationality and nationality, they were divided into three groups: mainland China group, Hong Kong, Macao and Taiwan group and foreign group. Results the recurrence rate of foot treatment group was significantly lower than that of insufficient treatment group, while that of non-azithromycin group was significantly higher than that of azithromycin group. The incidence of insufficient treatment in mainland China group was significantly higher than that in Hong Kong, Macao and Taiwan group and foreign group (P 0.05). The main cause of insufficient course of treatment is insufficient compliance of patients, which is related to some doctors' understanding of the course of treatment. Conclusion when using antibiotics to treat suppurative tonsillitis, we should insist on the treatment of foot course and strengthen the knowledge of rational use of antibiotics to the people in mainland China.
【作者单位】：广州中医药大学祈福医院;
【基金】：广州市番禺区科研攻关项目(编号:2014-Z03-44)
【分类号】：R766.18

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