基础医学与临床 ›› 2014, Vol. 34 ›› Issue (4): 570-572.

• 医学教育 • 上一篇    下一篇

医生在急性上呼吸道感染中使用抗生素的行为

盛峰,车璐,刘培珧,李剑涛,管远志   

  1. 北京协和医学院
  • 收稿日期:2013-07-15 修回日期:2013-09-24 出版日期:2014-04-05 发布日期:2014-03-31
  • 通讯作者: 管远志 E-mail:guan365@126.com

Behavior making doctors prescribe antibiotics in acute upper respiratory tract infections

  • Received:2013-07-15 Revised:2013-09-24 Online:2014-04-05 Published:2014-03-31

摘要: 目的 了解医生在急性上呼吸道感染(AURTI)中使用抗生素的行为。方法 自行设计调查问卷,对北京协和医院内科有急诊流水轮转经历的40名高年资住院医生进行访谈。结果 医生治疗AURTI时主要参考患者血常规、黄脓痰/涕、发热、扁桃体化脓的情况使用抗生素。大部分医生上岗前未接受过AURTI相关的教育或培训,未关注过上相关文献或指南。结论 医生在AURTI中使用抗生素的行为存在共性。对个别症状、体征及辅助检查结果依赖程度大。但医生AURTI的教育普遍缺乏。

关键词: 急性上呼吸道感染, 抗生素, 血常规, 黄脓痰/涕

Abstract: Objective This study aims to analyze doctor’s behavior of prescribing antibiotics in acute respiratory tract infections (AURTI). Methods 40 senior residents from Peking Union Medical College Hospital who have emergency medical training background were interviewed with designed questionnaire. Results When the doctors prescribe antibiotics in acute respiratory tract infections, they mainly rely on the result of complete blood count and symptoms like purulent discharge, fever and tonsil exudate. Most of the doctors haven’t received any training on AURTI or read any related papers or guideline. Conclusion Commonness exists within doctors, which highly rely on some specific symptoms, signs and test results. And the education of AURTI in doctors is insufficient.

Key words: acute respiratory tract infections, antibiotics, complete blood count, purulent discharge

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