Analysis of Antibiotic Use for Bronchial Pneumonia in Pediatrics

Su Xue Wen; Zhu Hua; Si Ri Gu Leng; Yuan Hai Feng

Article Contents

Article Navigation > Journal of Kunming Medical University > 2017 > 38(07): 126-129

Su Xue Wen , Zhu Hua , Si Ri Gu Leng , Yuan Hai Feng . Analysis of Antibiotic Use for Bronchial Pneumonia in Pediatrics[J]. Journal of Kunming Medical University, 2017, 38(07): 126-129.

Citation:

Su Xue Wen , Zhu Hua , Si Ri Gu Leng , Yuan Hai Feng . Analysis of Antibiotic Use for Bronchial Pneumonia in Pediatrics[J]. Journal of Kunming Medical University, 2017, 38(07): 126-129.

Su Xue Wen , Zhu Hua , Si Ri Gu Leng , Yuan Hai Feng . Analysis of Antibiotic Use for Bronchial Pneumonia in Pediatrics[J]. Journal of Kunming Medical University, 2017, 38(07): 126-129.

Citation:

Su Xue Wen , Zhu Hua , Si Ri Gu Leng , Yuan Hai Feng . Analysis of Antibiotic Use for Bronchial Pneumonia in Pediatrics[J]. Journal of Kunming Medical University, 2017, 38(07): 126-129.

PDF( 139 KB)

Analysis of Antibiotic Use for Bronchial Pneumonia in Pediatrics

Funds:

基金：内蒙古自治区人民医院院内基金资助项目 (201565);

Received Date: 2017-03-19

Abstract

Abstract

Objectives To investigate and analyze the changes of antibiotic use for pediatric patients with bronchial pneumonia in recent eight years and to improve the awareness and the level of pediatricians in using of antibiotics in clinical work rationally. Methods Retrospective investigation was applied on 800 cases of pediatric bronchial pneumonia in Inner Mongolia People's Hospital from 2008 to 2011 and another 800 cases of pediatric bronchial pneumonia from 2012 to 2015 to analyze the use of antibiotics. The cases and related data were collected from the medical records. The use rate and combined use rate of antibiotics, white blood cell and neutrophil levels, pathogen detection rate, hospital stay and discharge rate were analyzed. Results There was no significant difference in leukocyte and neutrophil levels and hospital discharge rate between the two groups (P>0.05) . The use rate and combined use rate of antibiotics in 2012-2015 cases were significantly lower than those in 2008-2011 cases. The pathogen detection rate in 2012-2015 cases was significantly higher than that in 2008-2011 cases and the length of hospitalization in 2012-2015 cases was significantly shorter than that in 2008-2011 cases (P<0.05) .Conclusion Pediatricians should pay more attention to the administration of antibiotics on the children with bronchial pneumonia. Based on the results of etiological detection, safe, effective and rational choice of antibiotic can be helpful to reduce the unnecessary use of antibiotics, thereby reducing unnecessary damage to children.
- Bronchopneumonia,
- Antibiotics,
- Use rate

FullText(HTML)

References(16)

References

[1]袁壮, 马沛然, 邓力, 等.50年来小儿肺炎诊治策略的变迁[J].中国实用儿科杂志, 2006, 21 (12) :881-908.
[2]张梓荆.病毒性肺炎的现状与对策[J].中华儿科杂志, 1997, 35 (8) :5-6.
[3]盛放.儿童社区获得性肺炎流行病学特点及血清降钙素原水平临床分析[J].中华医院感染学杂志, 2013, 23 (6) :1400-1402.
[4]张灵恩.儿科危重症时初始抗生素的选择[J].中国全科医学, 2009, 12 (4) :269-271.
[5]贺蓉, 蔡瑞云, 钟礼立, 等.小儿肺炎的病原学及药敏分析[J].中国医师杂志, 2006, 8 (7) :975-976.
[6]郭越衡.抗生素在儿童中的合理应用[J].临床合理用药杂志, 2012, 5 (4) :90-91.
[7]黄振伟, 蔡德, 陈晨.某院治疗儿童社区获得性肺炎的抗菌药物应用情况分析[J].中国医药指南, 2010, 8 (24) :17-19.
[8]江载芳, 申昆玲, 沈颖.诸福棠实用儿科学 (第8版) [M].北京:人民卫生出版社, 2015:47.
[9]	[9]BLACK R E, MORRIS S S, BRYCE J.Where and why are10 million children dying every year[J].Lancet, 2003, 361 (9376) :2226-2234.
[10]	[10]BRYCE J, BOSCHI-PINTO C, SHIBUYA K, et al.WHO estimates of the causes of death in children[J].Lancet, 2005, 365 (9465) :1147-1152.
[11]于小燕, 于大燕, 朱华乔.社区卫生服务站抗生素不合理使用情况分析[J].中国全科医学, 2009, 12 (12) :1138-1141.
[12]刘清泽.儿科临床治疗中抗生素的合理使用[J].中国医药指南, 2014, (16) :385.
[13] 陈娟, 文智惠.2010年儿科支气管肺炎 (住院) 抗生素应用调查研究[J].国际医药卫生导报, 2011, 17 (24) :3075-3078.
[14]吴沪军, 温顺航, 林立, 等.儿童金黄色葡萄球菌播散感染14例临床分析[J].临床儿科杂志, 2014, 32 (10) :936-939.
[15]刘翔腾, 王桂兰, 罗序锋, 等.儿童社区获得性肺炎病原微生物分布特点分析[J].中国当代儿科杂志, 2013, 15 (1) :42-45.
[16]任秀银, 丁雪松.抗生素的合理应用与联合用药[J].辽宁中医药大学学报, 2011, 13 (2) :185-186.

Relative Articles(20)

Relative Articles

[1]	Shaoyou DENG, Yulan ZHAO, Peijin WANG, Rong LI, Jintao LI, Hong ZHENG. Effects of Osteoking Combined with Antibiotic Cocktail on Insulin Resistance and Gut Flora in db/db Mice. Journal of Kunming Medical University, 2023, 44(5): 12-18. doi: 10.12259/j.issn.2095-610X.S20230530
[2]	Shu-qi CHEN, Peng ZHAO, Ge-fen YIN, Xia XIAO, Yan LI. Knowledge and Behavior of Antibiotics from the Perspective of One Heath among Senior University Students in Kunming. Journal of Kunming Medical University, 2021, 42(10): 45-50. doi: 10.12259/j.issn.2095-610X.S20211003
[3]	Zheng Zhi Rong , Shao Rui Fei , Zhao Shi Ming , Zhang Yi Xin , Chen Guo Bing . . Journal of Kunming Medical University, 2020, 41(05): 91-95.
[4]	Yang Hong Yu , Zhao Shi Hao , Zhao Rui , Lv Yu , He Xiao Guang , Peng Yun Zhu , Yin Zhu Ping , Zhang Jing Jing , Lin Yan . The Incidence of Pharyngeal Fistula after Total Laryngectomy and the Dynamic Analysis of Antimicrobial Use. Journal of Kunming Medical University, 2018, 39(04): 70-72.
[5]	Chen Jing Yi , Liao Fei , Feng Lei , Chu Cong Jia . Prevalence and Drug Resistance of Streptococcus Pneumoniae Infection in Children in Yuxi during from 2014 to 2016. Journal of Kunming Medical University, 2017, 38(11): 82-85.
[6]	Wang Zhi Ying . Clinical Application of Fiberoptic Bronchoscopy in Treatment of Ventilator Associated Pneumonia. Journal of Kunming Medical University,
[7]	Li Jian Hua . Evaluation of Antimicrobial Efficacy of Local Drug Resistance Spectrum Antibiotics and Foreign Guideline on Community Acquired Pneumonia. Journal of Kunming Medical University,
[8]	Zhou Gui . A Multivariate Analysis on the Time of Using Antibiotics for Treating the Ventilator-associated Bacterial Pneumonia. Journal of Kunming Medical University,
[9]	Sun Jian Ming . . Journal of Kunming Medical University,
[10]	Liu Yi . . Journal of Kunming Medical University,
[11]	Xie Zuo Zhou . . Journal of Kunming Medical University,
[12]	Zhou Rui . . Journal of Kunming Medical University,
[13]	Dai Mei . . Journal of Kunming Medical University,
[14]	Liu Chun Li . . Journal of Kunming Medical University,
[15]	Xiong Yan . . Journal of Kunming Medical University,
[16]	Hua Peng . . Journal of Kunming Medical University,
[17]	Hua Peng . . Journal of Kunming Medical University,
[18]	. Resistance Analysis and Epidemiological Survey of 878 Acinetobacter Baumannii Solates. Journal of Kunming Medical University,
[19]	. . Journal of Kunming Medical University,
[20]	Chai Yan Ling . The Clinical Effect of YADRAN Tooth Powder Combined with Periodental Non-surgical Treatment on Periodontitis. Journal of Kunming Medical University,