我院门诊手足口病患儿治疗药物使用分析
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篇名: 我院门诊手足口病患儿治疗药物使用分析
TITLE:
摘要: 目的:为手足口病患儿的合理用药提供参考。方法:利用药物处方点评系统随机抽取2015年1-6月我院感染性疾病科门诊确诊为手足口病患儿处方500份,对其用药情况进行统计分析。结果:我院手足口病患儿年龄主要在3岁以下(占58.2%);135张处方使用了抗菌药物,使用率为27.0%;治疗手足口病用药以抗病毒为主,主要使用药物有利巴韦林、喜炎平、热毒宁等;注射和口服抗菌药物均以第三代头孢菌素类为主。结论:我院治疗手足口病药物选择基本合理。但由于手足口病患儿年龄较小,对药物反应性高,在治疗手足口病中合理应用抗菌药物和糖皮质激素类药物、避免滥用是目前临床需要重视和解决的问题。
ABSTRACT: OBJECTIVE: To provide reference for rational drug use in children with hand-foot-and-mouth disease. METHODS: 500 prescriptions selected randomly, which were diagnosed with hand-foot-and-mouth disease in infectious disease outpatient department our hospital from Jan. to Jun. in 2015, and the drug use of them were analyzed statistically. RESULTS: The number of patients below three years of age was the largest (58.2%). Antibacterial drugs were used in 135 prescriptions with utilization ratio of 27.0%. Hand-foot-and-mouth disease in our hospital was mainly treated by antiviral drug; the antiviral drugs included ribavirin, Xiyanping and Reduning mainly. Injection and oral antibacterial drugs were mainly the third generation cephalosporins. CONCLUSIONS: The selection of drugs for hand-foot-and-mouth disease is rational basically in our hospital. But because of the young age and high drug response of children with hand-foot-mouth disease, it should be paid attention and resolved to strengthen rational use of antibacterial drugs and glucocorticoid agents in treating hand-foot-and-mouth disease.
期刊: 2016年第27卷第11期
作者: 范磊,陈海燕
AUTHORS: FAN Lei,CHEN Haiyan
关键字: 儿童;手足口病;抗病毒药物;抗菌药物;合理用药
KEYWORDS: Children; Hand-foot-and-mouth disease; Antrviral drugs; Antibacterial drugs; Rational drug use
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