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目的:了解河北省人民医院儿科门诊静脉用抗菌药物的使用情况,为临床合理应用抗菌药物提供依据。方法:调查该院2011年3月至2011年5月儿科门诊输液患儿的静脉用药情况,并评价用药合理性。结果:300例儿科门诊静脉用药病例中抗菌药物使用率为99.0%,共计4类15个品种;头孢菌素类占32.1%,单环β-内酰胺类占29.4%,大环内酯类占21.5%;联用抗菌药物病例占总病例的13.0%;静脉用抗菌药物均为每日一次给药。结论:静脉抗菌药物在儿科门诊应用普遍,但在抗菌药物品种选择、用药频次及联合用药方面存在不合理现象,应引起临床的重视。
Objective: To understand the use of antimicrobial agents for pediatric outpatient pediatrics in Hebei Provincial People’s Hospital, and to provide basis for clinical rational use of antimicrobial agents. Methods: The hospital from March 2011 to May 2011 pediatric outpatient infusion of intravenous drug use, and evaluation of drug use rationality. Results: The use rate of antibacterials was 99.0% in 300 cases of pediatric outpatients, accounting for 4 categories and 15 varieties. The cephalosporins accounted for 32.1%, monocyclic β-lactams accounted for 29.4%, macrolides 21.5%; combination of antimicrobials accounted for 13.0% of the total cases; intravenous antibiotics are given once daily. Conclusion: Intravenous antimicrobials are commonly used in pediatric outpatient clinics. However, there are unreasonable phenomena in the selection of antimicrobial agents, frequency of drug use and combination therapy, which should arouse clinical attention.