转诊至乳腺专科诊所患者的抗生素处方。
Antibiotic prescription for patients referred to a specialist breast clinic.
作者信息
Twine C, Gateley C A
机构信息
Rapid Access Breast Clinic, Royal Gwent Hospital, Cardiff Road, Newport, South Wales, UK.
出版信息
Postgrad Med J. 2006 Nov;82(973):771-3. doi: 10.1136/pgmj.2006.049296.
Hospital referral is indicated as an emergency for breast infections not settling with oral antibiotics. Referrals to a breast clinic over a period of 6 months were assessed for prior antibiotic prescription. A total of 1078 patients were seen during this period. 91 (8%) patients had been prescribed antibiotics, 71% of which had been prescribed for non-infective conditions. Of those patients treated for infection, 42% had the wrong antibiotic prescribed. The final diagnoses for patients inappropriately prescribed antibiotics were chest wall pain in 23% and duct ectasia in 14%. Although the reasons for prescription of antibiotics are mutifactorial, careful examination of the patient will diagnose chest wall pain. Delayed prescribing may be appropriate for some patients.
对于口服抗生素治疗无效的乳腺感染，需紧急转诊至医院。对6个月内转诊至乳腺诊所的患者进行了先前抗生素处方评估。在此期间共诊治了1078例患者。91例（8%）患者曾使用抗生素，其中71%用于非感染性疾病。在接受感染治疗的患者中，42%使用了错误的抗生素。抗生素处方不当患者的最终诊断为胸壁疼痛占23%，导管扩张占14%。尽管抗生素处方的原因是多因素的，但仔细检查患者可诊断胸壁疼痛。对于一些患者，延迟开处方可能是合适的。
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