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教学医院急诊不同级别医师抗菌药选用调查
Survey of Application of Antibacterial Agents by Doctors in Different Professional Titles in Department of Emergency of our Hospital
投稿时间:2006-03-24  修订日期:2006-07-13
DOI:
中文关键词:  抗菌药  急性上呼吸道感染  急性感染性腹泻  外伤  不同级别医师  调查
英文关键词:Antibiotics  Acute upper respiratory tract infection  Acute infection diarrhea  Injury  Doctors in different professional titles  Survey
基金项目:
许子彬  吴浩  宋健龙  邱嘉民
中山大学附属第二医院急诊科,广州510288
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中文摘要:
      目的:了解某教学医院急诊不同级别医师治疗急诊常见感染性疾病时,抗菌药的选择。方法:抽取2005年上半年急诊处方459张,按医师级别分为高级职称(A组)、中级职称(B组)、初级职称(C组)、进修医师(D组)等4组,对急性上呼吸道感染、急性感染性腹泻、外伤等治疗选用的抗菌药进行统计分析。结果:急性上呼吸道感染各组首选药物为青霉素或大环内酯类,A组占82.93%,B组49.36%,C组占35%。急性感染性腹泻选择首选喹诺酮类,A组87.5%,B组55%,C组72.19%。外伤感染组,使用首选药物青霉素类仅为2.08%。选药种数方面,三种疾病A组均较B、C、D组选用抗菌药种数少。结论:不同级别医师在选药针对性方面有差别,高级职称医师较低级职称医师强。
英文摘要:
      Objective:To investigate the application of antibacterial agents by doctors in the department of emer- gency of our hospital to several infective diseases.Method:459 prescriptions from the department of emergency in the first half of 2005 were divided into four groups(Group A,Group B,Group C and Group D)according to doctors'different profes- sional titles.In Group A the prescriptions were written by high-grade doctors,in Group B,by middle-level doctors,in Group C,by primary doctors and in Group D,by studying doctors.The application of antibacterial agents to acute upper respiratory infections,acute infection diarrhea and injuries were analyzed.Result:Acute upper respiratory infections:the percentage of penicillin and macrocyclic was 82.93% in Group A,49.36% in Group B and 35.00% in Group C.Acute infection diarrhea: the percentage of Quinolone was 87.50% in Group A,55.00% in Group B and 71.19% in Group C.The percentage of Pen- icillin for injuries was only 2.08%.The kinds of drugs in Group A were not so many as those in Group B,Group C and Group D.Conclusion:There is significant difference among the doctors of different grades in their choices of antibacterial a- gents.The choices of antibiotics by high grade doctors is more reasonable than those by low-grade doctors.
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