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三级医院医生的抗生素处方及抗生素成本知识

Prescription of antibiotics and knowledge about antibiotic costs among physicians working in tertiary-care hospitals.

作者信息

Maltezou Helena C, Maltezos Efstratios, Antoniadou Anastasia, Gourgoulis Georgios-Michael, Katerelos Panos, Adamis Georgios, Petrikkos George, Gargalianos Panagiotis

出版信息

J Chemother. 2014 Dec;26(6):375-8. doi: 10.1179/1973947813Y.0000000160. Epub 2014 Jan 2.

Abstract

The objective of this study is to investigate antibiotic prescription practices among hospital-based physicians in Greece, using the 2007 national guidelines as the golden standard. A total of 168 physicians participated. Compliance rate with the first-line antibiotic treatment recommended by the national guidelines was 65·5% for acute bacterial sinusitis; 24% for acute uncomplicated cystitis; 36·4% for an acute febrile diarrheic syndrome; 38% for an afebrile adult with chronic obstructive pulmonary disease and non-productive cough of 7 days duration; 23·2% for streptococcal pharyngotonsillitis; 55·1% for a surgically sutured, dirty wound; and 48·2% for community-acquired pneumonia. The total mean rate of compliance with the first recommended antibiotic was 41·2%.

摘要

本研究的目的是,以2007年国家指南作为黄金标准,调查希腊医院医生的抗生素处方行为。共有168名医生参与。国家指南推荐的一线抗生素治疗的依从率,急性细菌性鼻窦炎为65.5%;急性单纯性膀胱炎为24%;急性发热性腹泻综合征为36.4%;患有慢性阻塞性肺疾病且持续7天无痰咳嗽的无发热成人患者为38%;链球菌性咽扁桃体炎为23.2%;外科缝合的污染伤口为55.1%;社区获得性肺炎为48.2%。首次推荐抗生素的总体平均依从率为41.2%。

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