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重危患者抗生素相关性腹泻流行病学及临床分析
引用本文:陈萍,刘丁,王豪,王政,成谣.重危患者抗生素相关性腹泻流行病学及临床分析[J].中国抗生素杂志,2011,36(10).
作者姓名:陈萍  刘丁  王豪  王政  成谣
作者单位:第三军医大学大坪医院感染控制中心,重庆,400042
摘    要:目的 探讨重危住院患者抗生素相关性腹泻(antibiotic associated diarrhea,AAD)的发病率、临床特点及防治措施.方法 对某院2007年1月-2010年12月间的住院患者进行回顾性调查分析.结果 使用抗生素的4431例患者有174例发生AAD,发病率为3.93%,AAD的发生与患者高龄、基础疾病严重情况、抗生素使用种类、联合用药数量及疗程等因素相关.所有AAD患者经停用或换用抗生素、服用微生态制剂,加强支持治疗后均好转.结论AAD是一种常见的抗生素治疗的并发症,在重危患者中发病率较高,合理使用抗生素,严格控制广谱抗生素的使用,是预防控制AAD的关键.

关 键 词:抗生素相关性腹泻:重危病人  临床特征

Clinical analysis of intensive care patients with antibiotic associated diarrhea
Chen Ping,Liu Ding,Wang hao,Wang Zheng,Cheng Yao.Clinical analysis of intensive care patients with antibiotic associated diarrhea[J].Chinese Journal of Antibiotics,2011,36(10).
Authors:Chen Ping  Liu Ding  Wang hao  Wang Zheng  Cheng Yao
Institution:Chen Ping,Liu Ding,Wang hao,Wang Zheng and Cheng Yao(Daping Hospital Third Military Medical University,Chongqing 4000042)
Abstract:Obiective To study the incidence,the clinical characteristics,prevention and therapeutic measure of the antibiotic associated diarrhea(AAD).Methods To measure retrospectively and prospective the hospitalized intensive care patients in our department wards during Jan.,2007 to Dec.,2010.Results 174 patients using antibiotics resulted in AAD,prevalence ratio 3.93%,and the factors were related to the elderly,the grievours degree of deseases,the kinds of using mix antibiotics and period of treatment.All the pati...
Keywords:Antibiotic associated diarrhea  Intensive care patients  Clinical characteristic  
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