文章摘要
丁建平.江苏省性病监测点治疗淋病使用抗生素情况调查[J].南京医科大学学报,2014,(1):
江苏省性病监测点治疗淋病使用抗生素情况调查
Clinical antibiotic- use survey for gonorrhea treatment in Jiangsu province
投稿时间:2013-06-07  修订日期:2013-07-31
DOI:10.7655/NYDXBNS201401014
中文关键词: 淋病,抗生素,头孢类抗生素,治疗,性病
英文关键词: onorrhea  Antibiotics  Cephalosporin antibiotics  Treatment, STD
基金项目:
作者单位E-mail
丁建平 江苏省疾病预防控制中心 jpding@sina.com 
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中文摘要:
      [摘要] 目的 分析江苏省临床医生治疗淋病使用抗生素的情况,为制定淋病的防治策略提供科学依据。方法 采用整群抽样、面对面访问的方法,对全省13个性病监测点的195名临床医生临床治疗淋病使用抗生素情况进行了调查。用Epdata3.1数据录入核查,Excel和SPSS16.0进行汇总和分析,使用Logistic多因素回归模型进行多因素分析。结果 在调查的195名临床医生中,联合用药的占56.41%,联合用药中以国家指南作为依据的为88人,占到80%,合并其他感染和个人经验和习惯的分别占了18.19%和1.82%;以头孢作为首选药治疗的,占了87.69%;医生所在医院类别和所在科室类别对淋病治疗用药的影响较大(p<0.05);在多因素分析中,皮肤病医院则倾向于联合用药(p<0.001),并倾向于使用除头孢曲松钠以外的其他头孢类抗生素治疗淋病(p<0.001),皮肤科医生在联合用药时更喜欢按照个人习惯和经验而不是按照国家指南来治疗淋病(p<0.05)。结论 临床医生对淋病治疗标准的掌握还有欠缺,尤其是应加强皮肤病性病医院和医生治疗淋病临床用药的培训,不断提高淋病的诊疗水平,更好地控制性病艾滋病在我省的传播。
英文摘要:
      [Abstract] Objective To analyze clinical treatment of gonorrhea with antibiotics in Jiangsu province, providing scientific basis for gonorrhea control strategy. Methods With cluster sampling and face-to-face interview, 195 clinical doctors in 13 STD monitoring spots in Jiangsu were investigated with clinical use of antibiotics for treatment of gonorrhea. Using Epdata3.1 for data entry and verification, Excel and SPSS16.0 for summary and analysis, and Logistic multifactor regression model for multifactor analysis. Results Among 195 clinical doctors investigated, 56.41% of them applied the combination drug therapy; 88 doctors were in accordance with National Guidelines when using the therapy, accounted for 80%; The combination of other infections and personal experiences and habits accounted for 18.19% and 1.82% respectively; With cephalosporins as the drug of first choice accounted for 87.69%. The difference of hospitals and departments had a big influence on the treatment for gonorrhea (p < 0.05); With multifactor analysis, dermatosis specialized hospitals were likely to use combination drug therapy (p < 0.001), and preferred other cephalosporins antibiotics rather than ceftriaxone sodium for treatment of gonorrhea (p < 0.001). Instead of the National Guidelines, dermatologists relied mostly on personal habits and experiences to treat gonorrhea (p < 0.05). Conclusion It is necessary to strengthen the awareness of gonorrhea treatment standards for clinical doctors, especially the doctors in dermatosis specialized hospitals; Clinical drug application training should be enhanced to improve the level of diagnosis and treatment of gonorrhea, and to better control the STD/AIDS transmission in our province.
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