93例毛细支气管炎患儿病原体分布及抗菌药物使用分析

发布时间：2018-04-15 03:15

本文选题：毛细支气管炎 + 病原体　；参考：《中国药房》2015年23期

【摘要】：目的:为合理使用抗菌药物提供参考。方法:回顾性分析2013年1月-2014年12月我院儿科住院的93例毛细支气管炎患儿的病原体检测和抗菌药物使用情况,病原体检测主要包括呼吸道病毒、肺炎支原体、肺炎衣原体的Ig M抗体和痰培养。结果:93例毛细支气管炎患儿中,呼吸道病毒Ig M抗体检测阳性22例(23.66%),主要为呼吸道合胞病毒;痰培养检测阳性17例(18.28%),主要为卡他莫拉菌、流感嗜血杆菌和肺炎链球菌;非典型病原体检出10例(10.75%),主要为肺炎支原体。使用抗菌药物47例(50.54%),其中有明确抗菌药物使用指征的仅占12.77%(6/47);1~3月龄段使用抗菌药物比例最高,占同龄段比的81.82%;使用抗菌药物病例病程明显延长,平均病程(8.27±3.32)d。结论:我院毛细支气管炎患儿仍以病毒感染为主,使用抗菌药物比例高,但大多无明确细菌感染指征。
[Abstract]:Objective: to provide reference for rational use of antimicrobial agents.Methods: from January 2013 to December 2014, 93 pediatric patients with bronchiolitis in our hospital were retrospectively analyzed for pathogen detection and antimicrobial agents use, including respiratory tract virus, mycoplasma pneumoniae, mycoplasma pneumoniae, respiratory tract virus, mycoplasma pneumoniae, and mycoplasma pneumoniae.IgG M antibody and sputum culture of chlamydia pneumoniae.Results among 93 children with bronchiolitis, 22 cases were positive for respiratory tract virus IgG antibody, mainly respiratory syncytial virus, 17 cases were positive for sputum culture, mainly for Casamora, Haemophilus influenzae and Streptococcus pneumoniae.Atypical pathogens were detected in 10 cases, mainly mycoplasma pneumoniae.47 cases with antimicrobial agents were treated with antimicrobial agents (50.54%), of which the proportion of using antibiotics was the highest at the age of 12.777,6 / 47 / 1 / 3 months, which was 81.82% in the same age group, and the course of the disease was obviously prolonged in the patients with antimicrobial agents, with an average course of 8.27 卤3.32days.Conclusion: children with bronchiolitis in our hospital are still mainly infected by virus, and the proportion of antibiotics used is high, but most of them have no clear indication of bacterial infection.
【作者单位】：四川省妇幼保健院药剂科;
【分类号】：R969.3

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