1.Application analysis of antibiotics in the pediatric outpatient and emergency treatment in our hospital
Zhouji FAN ; Yunwu LI ; Jianzhong ZHA
Chinese Journal of Postgraduates of Medicine 2014;37(z1):41-45
Objective To analyze the usage of antibiotics after renovation in the use of this present situation and existing problems of pediatrics.Methods By application of our self-developed analyzing system for the clinical use of antibacterial agents,the prescriptions of pediatric outpatient in 2012 was studied retrospectively and their rationality was evaluated.Results The antibiotic prescription rate was 37.7% in pediatric outpatient and emergency in our hospital,their were 26 antibacterial agents in clinic use which were involved in 6 pharmacological group.The defined daily dose(DDD) analysis was adopted and the results have shown that macrolides (42.20%),cephalosporins (35.90%) and penicillins (20.90%) were the most prescribed antibiotics and most of them were oral medicines (72.2%) and non restrictive drug (61.0%).The antibacterial agents' s combination therapy rate was 2.4%.Irrational use of drugs mainly include the wrong way of administration (78.0%),application of antibiotics with no indications (21.3%) and irrational combined use of antibiotics (0.5%).Conclusion The application of antibiotics in our hospital pediatric basic structure reasonable,but there are still improper usage and dosage,no indication of medicine,etc.It is necessary to further improve and perfect the use and management of antimicrobial agents.
2.Correlation analysis between cough variant asthma and personality type of children
Bingyong HE ; Zhouji FAN ; Ping WANG ; Yaoqin QIAN
Chinese Journal of Postgraduates of Medicine 2012;(33):7-9
Objective To explore the personality type characteristic of children with cough variant asthma(CVA),so as to supply an individual treatment strategy.Methods With the aid of GONG Yao-xian revised Junior Eysenck Personality Questionnaire (JEPQ) by trained professionals,the personality of 65 cases of CVA children (CVA group) and 100 cases of common cold children (control group) was tested and evaluated.Then based on the dimension value P,E,N,L points of the curriculum,personality of orientation was evaluated.Results There was no significant difference in the P,N,L scores of JEPQ between CVA group and control group [(48.84 ± 10.26) scores vs.(48.15 ± 10.98) scores,(50.31 ± 10.49) scores vs.(49.25 ± 9.08) scores,(47.07 ± 9.31) scores vs.(47.20 ± 10.57) scores](P> 0.05).The E score of JEPQ in CVA group was lower than that in control group [(44.15 ± 9.29) scores vs.(50.25 ± 8.63) scores],and there was significant difference (P=0.000).Conclusions The CVA children have introverted character,and there is a tendency to form a personality type of conditional reflex.When medicine is taking,the individual personality type should be taken into consideration during the course of therapy.Appropriate mental hints may be helpful for medical therapy and make it a lot easier.