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学科主题: 感染疾病科
题名:
北京10所三级医院成人急性腹泻的诊断治疗调查研究
其他题名: Survey of diagnosis and treatment of acute diarrhea in adults in 10 hospitals of Beijing
作者: 侯凤琴1; 王艳1; 李俊1; 刘颖1; 王贵强1
关键词: 急性腹泻 ; 成人 ; 调查 ; Acute diarrhea ; Adult ; Survey
刊名: 中华医院感染学杂志
发表日期: 2015
DOI: 10.11816/cn.ni.2015-133060
期: 18, 页:4186-4188
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的:评估北京成人急性腹泻的诊断治疗与Manatsathit成人腹泻诊疗指南的一致性,了解各级医院急性腹泻的诊断治疗水平,为有针对性的腹泻诊断治疗提供依据。方法在北京10所医院,采取诊治医师自行填写诊断治疗报告的形式进行腹泻诊断治疗的调查;采用SPSS13.0软件进行统计分析。结果2011年5-6月10所医院报告了400例急性腹泻患者的诊断治疗情况,患者年龄(35.5±14.8)岁,女性209例,占52.3%;患者从起病到就诊时间为(2.0±1.4)d;所有400例被调查患者中89.8%进行了粪便检查,所有患者均进行了粪便霍乱弧菌培养,但只有8.5%的患者进行了其他细菌的粪便培养;400例患者中69.3%给予了补液,其中48.8%给予口服补液、20.5%给予静脉补液;所有患者中,有抗菌药物应用指征的患者只有17.8%,却有57.0%的患者给予抗菌药物治疗,且27.0%的患者给予了静脉抗菌药物治疗;在非教学医院,更多患者给予了无适应证的抗菌治疗,与重点大学教学医院及普通大学教学医院比较,差异有统计学意义(P<0.01)。结论北京三级甲等医院对成人腹泻的诊治与指南有一定差距,需进一步加强腹泻诊治的培训,以提高腹泻治疗的合理性。 OBJECTIVE To assess if the diagnosis and treatment of the adults with acute diarrhea in Beijing adhere to the guidelines recommended by Manatsathit working group and understand the conditions of diagnosis and treat‐ment of acute diarrhea in different levels of hospitals so as to provide guidance for targeted diagnosis and treatment of the diarrhea .METHODS A survey was conducted for the diagnosis and treatment of diarrheas in 10 hospitals of Beijing by using the diagnosis and treatment reports filled out by clinicians ,and the statistical analysis was per‐formed with the use of SPSS 13 .0 software .RESULTS Totally 400 patients with acute diarrhea were reported in the 10 hospitals from May 2011 to Jun 2011 ,with the age of (35 .5 ± 14 .8) years old ,including 209 (52 .3% ) fe‐male patients .The interval between the onset of disease and treatment was (2 .0 ± 1 .4)days .Of the 400 patients enrolled in the study ,89 .8% received the fecal examination and underwent the stool culture of V ibrio cholerae , and only 8 .5% of the patients received the stool culture of other species of bacteria .Of the 400 patients ,69 .3%received the rehydration therapy ,of whom 48 .8% were given the oral rehydration solution and 20 .5% were given the intravenous infusion .Among all the patients ,only 17 .8% had antibiotic therapy indications ,however 57 .0%were given the antibiotic therapy ,and 27 .0% were treated with intravenous antibiotics therapy .In non‐teaching hospital more patients were given antibiotics therapy without indications ;as compared with the key university teaching hospitals and general university teaching hospitals ,the difference was significant (P<0 .01) .CONCLUSION There is certain gap between the diagnosis and treatment of the adults with diarrhea and the guidelines in tertiary hospitals in Beijing .It is necessary to further strengthen the training of diagnosis and treatment of the diarrhea so as to im‐prove the rationality of treatment of the diarrhea .
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/41668
Appears in Collections:北京大学第一临床医学院_感染疾病科_期刊论文

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作者单位: 1.北京大学第一医院感染疾病科,北京,100034
2.博福益普生 天津 制药有限公司,天津,300384
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