The study of instruction of 《Community-acquired Pneumonia clinical pathway》to antibiotic choice
- VernacularTitle:《社区获得性肺炎临床路径》对抗菌素选择的指导作用研究
- Author:
Kun ZHAO
;
Lianjun WU
;
Zhirui MU
- Publication Type:Journal Article
- Keywords:
CAP;
Clinical pathway;
Empirical antibiotherapy
- From:
Journal of Chinese Physician
2014;(z2):13-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of initial empirical antibiotherapy in CAP since the practice of the clinical path -way and the classification management of antibiotic and the analysis of sputum culture .Methods One hundred and sixty patients with CAP consistent with the clinical pathway were divided according to the preferred choice of empiric antibiotherapy , the results of disea-ses distribution, objective, number, therapeutic effect, drug distribution and sputum culture were listed .Results The most preferred antibiotic of initial empiric antibiotherapy were penicillins with a β-lactamase inhibitor, bibasic cephalosporin and respiratory fluoro -quinolone, it was identical with the recommendation of guideline and indirectly demonstrated that the pathogen of CAP was identical with the guideline.Conclusions The initial therapy of CAP is still depended on empirical antibiotherapy , the most CAP are cured by correct empirical antibiotharepy according to the guideline , the instruction effect of the pathogen detection of sputum to the therapy of CAP is limited.
