Bernstein L R, Barriere S L, Conte J E
Ann Emerg Med. 1982 Aug;11(8):400-3. doi: 10.1016/s0196-0644(82)80034-6.
An antibiotic utilization review was performed for the purpose of determining the frequency and types of infectious diseases presenting to a large, teaching hospital emergency department, and the appropriateness of the use of antibiotics in this setting. In 27% of the visits a diagnosis of an infectious disease was made or an antibiotic was prescribed. The most common presenting diagnoses (comprising more than 75% of cases) were infections of the respiratory tract, skin, urogenital system, and gastrointestinal tract. Penicillins and sulfonamides were frequently prescribed in nearly two-thirds of cases. Antibiotic prescribing was determined to be appropriate in 78% of cases. Inappropriate use most often involved the use of prophylactic antibiotics in clean lacerations and the use of prophylactic antibiotic combination products following trauma to the eye.
为了确定一家大型教学医院急诊科出现的传染病的频率和类型，以及在此环境中使用抗生素的适当性，进行了一次抗生素使用情况审查。在27%的就诊病例中，做出了传染病诊断或开具了抗生素处方。最常见的就诊诊断（占病例的75%以上）是呼吸道、皮肤、泌尿生殖系统和胃肠道感染。在近三分之二的病例中，经常开具青霉素和磺胺类药物。78%的病例中抗生素处方被判定为适当。不当使用最常见的情况是在清洁伤口中使用预防性抗生素以及眼部外伤后使用预防性抗生素联合产品。
