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如果首选羟氨苄青霉素不能一次性治愈中耳炎,那么,家庭将要承担第二种药品的费用及额外的门诊费和不能工作失去的时间。对于某些家庭来说,首选价格较贵但效力较高的药品可能是更合算。我们运用决策分析方法比较了羟氨苄青霉素和氯头孢菌素的成本效果。随着羟氨苄青霉素药效的降低或父母收入的增加,倾向于使用氯头孢菌素。运用所描述的分析方法,临床医生可根据他们的实际情况选择最合算的首选抗生素治疗儿童中耳炎。
If the first choice of amoxicillin does not cure otitis media at once, then the family will have to pay for the second drug and extra outpatient fees and lost time to work. For some families, the preferred price is more expensive but more effective drugs may be more cost-effective. We compared the cost-effectiveness of amoxicillin and chlorcecepin using a method of decision analysis. As ampicillin efficacy decreases or parental income increases, the use of cephalosporins is preferred. Using the described method of analysis, clinicians can choose the most cost-effective preferred antibiotic for the treatment of otitis media in children, based on their actual situation.