Steinmann Kai, Babl Franz E
Emergency Department, Royal Children's Hospital, and Murdoch Childrens Research Institute, Melbourne, Australia.
J Paediatr Child Health. 2006 Apr;42(4):204-5. doi: 10.1111/j.1440-1754.2006.00830.x.
To audit antibiotic prescribing rates for acute otitis media (AOM) at a tertiary paediatric emergency department (ED).
All children who presented to the ED in 2002 (during defined 4-week periods in spring, summer, autumn and winter) and were given a diagnosis of AOM were eligible for analysis. Data were extracted retrospectively, providing information on demographics and antibiotic therapy.
A total of 306 patients with AOM were available for analysis. Forty-three children (14%) were <1 year, 69 (23%) 1-2 years, and 194 (63%) > 2 years of age. Sixty-eight patients (22%) were receiving antibiotics prior to presentation to the ED, and antibiotics were prescribed for 206 (67%). Antibiotic prescribing was independent of patient age.
Despite ready access to clinical guidelines that recommend an expectant approach for children with AOM who are older than 1 or 2 years of age, antibiotic prescribing rates were high in the ED.
审核一家三级儿科急诊科急性中耳炎（AOM）的抗生素处方率。
2002年（在春季、夏季、秋季和冬季确定的4周期间）到该急诊科就诊且被诊断为AOM的所有儿童均符合分析条件。数据进行回顾性提取，提供人口统计学和抗生素治疗信息。
共有306例AOM患者可供分析。43名儿童（14%）年龄小于1岁，69名（23%）1至2岁，194名（63%）大于2岁。68例患者（22%）在到急诊科就诊前已在使用抗生素，206例（67%）被开具了抗生素处方。抗生素处方与患者年龄无关。
尽管可随时获取临床指南，其中建议对1岁或2岁以上的AOM儿童采取观察等待的方法，但该急诊科的抗生素处方率仍很高。
