基层医院中青年医师对呼吸道感染性疾病抗菌药物合理应用的调查研究

发布时间：2018-06-23 20:00

本文选题：基层医院 + 门诊　；参考：《中华医院感染学杂志》2015年07期

【摘要】：目的调查分析基层医院中青年医师对呼吸道感染性疾病抗菌药物合理应用情况,为提高基层医院中青年医师抗菌药物合理应用提供依据。方法采取分层抽样的方法选择北京地区5所基层医院门诊中青年医师作为调查对象,回收411份有效问卷,调查基层医院医师对抗菌药物使用相关问题的了解程度;再选择同院门诊400份呼吸道感染性疾病患者病历资料以及处方进行回顾性分析,对抗菌药物的使用情况进行统计,数据采用SPSS 19.0进行统计分析。结果基层医院医师对于抗菌药物的预防应用及联合使用指征认知率均较低,分别为30.09%及32.85%,而对于药敏学检查的认知率较好为77.61%;基层医院医师认为抗菌药物疗效不佳的原因主要为抗菌药物不合理使用占70.07%,细菌耐药性的产生占52.80%;400份呼吸道感染性疾病处方中86.75%处方应用抗菌药物,不合理应用抗菌药物有:高档抗菌药物的应用、联合用药不合理、超疗程用药、药理拮抗、溶媒不当以及重复用药等。结论基层医院中青年门诊医师对于抗菌药物使用相关知识了解程度不足,存在较多的不合理现象,应加强中青年医师的职业道德教育、提高其专业知识水平,规范化、合理化使用抗菌药物。
[Abstract]:Objective to investigate and analyze the rational application of antibiotics to respiratory tract infectious diseases by young and middle-aged doctors in primary hospitals, so as to provide the basis for improving the rational application of antibiotics by young doctors in basic hospitals. Methods the stratified sampling method was used to select young Chinese and young doctors from 5 primary hospitals in Beijing as the objects of investigation. 411 valid questionnaires were collected to investigate the degree of understanding of the problems related to the use of antimicrobial agents among the doctors in the primary hospitals. The medical records and prescriptions of 400 outpatients with respiratory infectious diseases in the same hospital were analyzed retrospectively and the use of antimicrobial agents was analyzed. SPSS 19.0 was used to analyze the data. Results the cognition rate of prophylactic use and combined use of antimicrobial agents among doctors in primary hospitals was low. 30.09% and 32.85%, respectively, and the cognitive rate of drug sensitivity examination was 77.61.The primary hospital doctors thought that the main reason for the poor efficacy of antimicrobial agents was that the irrational use of antimicrobial agents accounted for 70.07%, and the drug resistance of bacteria accounted for 52.80% of 400 respiratory tract sensations. Antimicrobial agents were used in 86.75% of the prescriptions for infectious diseases. The irrational use of antimicrobial agents includes: the application of high grade antibiotics, the irrational combination of antibiotics, the over-treatment of antibiotics, the pharmacological antagonism, the improper solvent and the repeated use of drugs, etc. Conclusion Young and middle-aged outpatients in grass-roots hospitals do not have enough knowledge about the use of antimicrobial agents, and there are many unreasonable phenomena. The professional ethics education of young and middle-aged doctors should be strengthened, and their professional knowledge level should be improved and standardized. Rationalizing the use of antimicrobial agents.
【作者单位】：北京外国语大学医院检验科;中国人民公安大学医院检验科;中国人民公安大学医院外科;
【基金】：北京市卫生局中青年医师基金资助项目(BW-2010B-020)
【分类号】：R95

【参考文献】