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很多感染性腹泻不需抗菌药治疗,因为大部分腹泻有自愈倾向,对这些病人用抗菌药,不仅药有毒副作用,而且易造成肠道菌群失调,致使腹泻迁延不愈及致病菌不易消除。世界卫生组织提出仅10％的感染性腹泻患者需要使用抗菌药。国内学者根据我国腹泻病原谱的组成及临床观察证明,感染性腹泻仅有20％-30％需要抗菌药治疗。我国腹泻发病率为每年8亿人次以上,抗生素的使用现已达50％-100％,存在严重的滥用抗菌药现象,给个人及社会带来极大危害,亟待纠正。
Many infectious diarrhea does not need antibacterial treatment, because most diarrhea tendency to self-healing, antibacterial drugs for these patients, not only toxic and side effects, but also easy to cause intestinal flora, resulting in delayed diarrhea and pathogenic bacteria is not easy eliminate. The World Health Organization proposes that only 10% of patients with infectious diarrhea need antibacterials. Domestic scholars according to the composition and clinical observation of our country’s diarrhea pathogenic spectrum proved that only 20% -30% of infectious diarrhea need antibacterial treatment. The incidence of diarrhea in our country is more than 800 million person-times a year, and the use of antibiotics has now reached 50% -100%. There is a serious abuse of antibacterial drugs, which brings great harm to individuals and society and is in urgent need of rectification.