McCoy Sandra I, Zell Elizabeth R, Besser Richard E
Biostatistics and Information Management Branch, Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Pediatr Infect Dis J. 2004 Feb;23(2):181-3. doi: 10.1097/01.inf.0000109958.65053.4e.
We describe the patterns of antimicrobial prescribing and trends in disease occurrence among children with otitis externa using the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey from 1995 to 2000. Oral antimicrobial therapy for otitis externa is more likely to contribute to antimicrobial resistance than is topical antimicrobial therapy and is rarely indicated. Thirty-nine percent of visits resulted in a prescription for topical antibiotics, and 25% of visits resulted in a prescription for oral antibiotics. Inappropriate antimicrobial prescribing for otitis externa occurs frequently.
我们利用1995年至2000年的国家门诊医疗护理调查和国家医院门诊医疗护理调查，描述了外耳炎患儿的抗菌药物处方模式及疾病发生趋势。与局部抗菌治疗相比，外耳炎的口服抗菌治疗更易导致抗菌药物耐药性，且很少有指征。39%的就诊开具了局部抗生素处方，25%的就诊开具了口服抗生素处方。外耳炎抗菌药物的不适当处方很常见。
