Retrospective Analysis of Drug Use in Children with Community-acquired Pneumonia in a Hospital in Guangdong
OBJECTIVE Community-acquired pneumonia in children is the number one inpatient disease in pediatrics and even in our hospital and it is a nationally reported single-disease.How to better provide high-quality pharmacy services for this type of patients,reduce the burden of patients,improve the quality of single-disease care and public satisfaction is a problem that our pharmacy department must adress.METHODS The data of discharged patients in pediatrics from January 2020 to June 2023 were derived from the hospital information system.And 4 980 patients were screened and enrolled according to the national criteria for community-acquired pneumonia in children with single-disease category.Retrospective analysis was conducted on the children's age distribution,length of hospital stay,proportion of antimicrobial use,proportion of infusion,DDDs of drug use and data of pre-trial system.RESULTS The main age distribution of community-acquired pneumonia in children was from 29 days to 5 years old..During hospitalization,27 bottles of intravenous infusion were administered per child,with an infusion volume of 1 500 mL.And the top 10 medicines in the frequency of use were mainly asthma-relieving,phlegm-reducing,antiviral,and antibacterial drugs.In this disease,the proportion of antimicrobial drug use reached 93％-99％,with an intensity of 22-26.The pre-trial system indicates that some of the usage,dosage,and any issues with the drug may be false positives.CONCLUSION Children's health popularization of science and education should be strengthened,and the amount of children's infusion can be further reduced by adjusting the drug supply strategy.For varieties with higher frequency of use,strategic stockpiling should be carried out during the high incidence season of respiratory diseases in spring and winter.The rules of the pre-trial system have limitations and should be revised according to the actual situation.
community-acquired pneumonia in childrenantimicrobialsdrug stockpilingpre-trial prescription
万方数据
维普
