Chlabicz Sławomir, Małgorzata-Ołtarzewska Alicja, Pytel-Krolczuk Barbara
Department of Family Medicine and Community Nursing, Medical University of Białystok, Mieszka I 4b, 15-054 Białystok, Poland.
Int J Antimicrob Agents. 2004 May;23(5):446-50. doi: 10.1016/j.ijantimicag.2003.10.009.
The aim of our study was to describe the pattern of antibiotic prescribing for respiratory tract infections. Forty-four family physicians from Białystok (north-eastern Poland) filled in questionnaires regarding 1315 patients with respiratory tract infections. Antibiotics were prescribed in 803 cases (61.1%). The four principle diagnoses associated with prescribing an antibiotic were: bacterial pharyngitis/tonsillitis, acute bronchitis, unspecified bacterial superinfection and acute sinusitis for which a total of 572 antibiotic treatments were given (71.2% of all antibiotic prescriptions). The study shows that Polish family physicians diagnose respiratory tract infections empirically and frequently prescribe wide-spectrum antibiotics. More information is required about the diagnostic value of certain clinical symptoms such as purulent sputum, duration of cough and indications for broad-spectrum antibiotic use.
我们研究的目的是描述呼吸道感染的抗生素处方模式。来自比亚韦斯托克（波兰东北部）的44名家庭医生填写了关于1315例呼吸道感染患者的问卷。803例（61.1%）患者使用了抗生素。与抗生素处方相关的四个主要诊断为：细菌性咽炎/扁桃体炎、急性支气管炎、未明确的细菌重叠感染和急性鼻窦炎，共进行了572次抗生素治疗（占所有抗生素处方的71.2%）。该研究表明，波兰家庭医生凭经验诊断呼吸道感染，并经常开具广谱抗生素。需要更多关于某些临床症状（如脓性痰、咳嗽持续时间和广谱抗生素使用指征）的诊断价值的信息。
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