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Respiratory tract infections: diagnosis and use of antibiotics by family physicians in north-eastern Poland

机译:呼吸道感染:波兰东北部家庭医生对抗生素的诊断和使用

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摘要

The aim of our study was to describe the pattern of antibiotic prescribing for respiratory tract infections. Forty-four family physicians from Bialystok (north-eastern Poland) filled in questionnaires regarding 1315 patients with respiratory tract infections. Antibiotics were prescribed in 803 cases (61.1%). The four principle diagnoses associated with prescribing an antibiotic were: bacterial pharyngitis/tonsillitis, acute bronchitis, unspecified bacterial superinfection and acute sinusitis for which a total of 572 antibiotic treatments were given (71.2% of all antibiotic prescriptions). The study shows that Polish family physicians diagnose respiratory tract infections empirically and frequently prescribe wide-spectrum antibiotics. More information is required about the diagnostic value of certain clinical symptoms such as purulent sputum, duration of cough and indications for broad-spectrum antibiotic use. (C) 2004 Elsevier B.V. and the International Society of Chemotherapy. All rights reserved.
机译:我们研究的目的是描述呼吸道感染的抗生素处方方式。来自比亚韦斯托克(东北波兰)的44位家庭医生填写了有关1315例呼吸道感染患者的问卷。 803例患者中开了抗生素(61.1%)。与开药相关的四个主要诊断是:细菌性咽炎/扁桃体炎,急性支气管炎,未指明的细菌重叠感染和急性鼻窦炎,总共给予了572种抗生素治疗(占所有抗生素处方的71.2%)。研究表明,波兰家庭医生凭经验诊断呼吸道感染,并经常开处方广谱抗生素。需要更多有关某些临床症状(如化脓性痰,咳嗽持续时间和广谱抗生素使用适应症)的诊断价值的信息。 (C)2004年Elsevier B.V.和国际化学疗法学会。版权所有。

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