Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Division of Pediatric Infectious Diseases, Departments of Pediatrics and Microbiology, Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada.
J Pediatric Infect Dis Soc. 2019 Dec 27;8(6):567-570. doi: 10.1093/jpids/piy131.
One-fourth of patients with bronchiolitis seen in US emergency departments between 2007 and 2015 received antibiotics; 70% of them had no documented bacterial coinfection. Macrolides were prescribed in 38% of the cases. Antibiotic use did not decrease after national recommendations against routine prescribing. Efforts are needed to reduce unnecessary and inappropriate antibiotic use for bronchiolitis.
2007 年至 2015 年间，美国急诊科就诊的毛细支气管炎患者中有四分之一接受了抗生素治疗；其中 70%的患者没有明确的细菌合并感染。38%的患者使用了大环内酯类抗生素。在国家反对常规处方的建议之后，抗生素的使用并没有减少。需要努力减少毛细支气管炎中不必要和不适当的抗生素使用。
