TY - JOUR T1 -成人急性咳嗽/下呼吸道感染抗生素处方:同余与指南JF -欧洲呼吸杂志》乔和J SP - 112 LP - 118欧元——10.1183/09031936.00145810六世- 38 - 1 AU -木头,J . AU -巴特勒,林祖嘉AU -罩,k . AU -凯利M.J.盟——Verheij t . AU -小,p . AU -托雷斯,a . AU -布拉西,f . AU - Schaberg t . AU -古森斯J . AU - Coenen h . AU -纳托尔S. Y1 - 2011/07/01 UR - //www.qdcxjkg.com/content/38/1/112.abstract N2 -欧洲急性咳嗽/下呼吸道感染(LRTI)治疗指南旨在减少处方中的非循证变异，更好地瞄准和增加一线抗生素的使用。然而，它们在初级保健中的应用尚不清楚。我们探讨了抗生素处方和抗生素选择与欧洲呼吸学会(ERS)/欧洲临床微生物学和传染病学会(ESCMID)指南管理LRTI的一致性。188bet官网地址本研究分析了急性咳嗽/LRTI患者的前瞻性观察数据。临床医生记录了症状的表现、检查和处理。随访患者的自我完整日记。1776例(52.7%)患者使用抗生素。根据患者的临床表现，根据ERS/ESCMID指南，临床医生可以为1915名(71.2%)患者证明抗生素处方的合理性。 761 (42.8%) of those who were prescribed antibiotics received a first-choice antibiotic (i.e. tetracycline or amoxicillin). Ciprofloxacin was prescribed for 37 (2.1%) and cephalosporins for 117 (6.6%). A lack of specificity in definitions in the ERS/ESCMID guidelines could have enabled clinicians to justify a higher rate of antibiotic prescription. More studies are needed to produce specific clinical definitions and indications for treatment. First-choice antibiotics were prescribed to the minority of patients who received an antibiotic prescription. ER -