波兰医院的支气管炎管理实践 - - 一项多中心的回顾性队列研究
Sara Szupieńko1, Karolina Bojarska-Cikoto2, Ewa Woźny-Sędek3
1Department of Paediatrics, St Hedwig of Silesia Hospital, Prusicka 53/55, 55-100, Trzebnica, Poland.
European journal of pediatrics
|November 10, 2024
概括
在波兰,70%的患有支气管炎的住院婴儿接受了目前指南不支持的治疗. 这项研究强调了儿童支气管炎护理中过度使用非推药物的情况.
科学领域:
- 儿科 儿科 儿科
- 呼吸系统医学 呼吸系统医学
- 传染性疾病 传染性疾病
背景情况:
- 支气管炎是幼儿常见的病毒性呼吸道感染,经常导致住院治疗.
- 目前基于证据的指导方针只建议支性治疗支气管炎的治疗.
- 尽管缺乏指导方针支持,但经常使用像支气管扩展剂,类固醇和抗生素等非推治疗方法.
研究的目的:
- 评估临床医生是否遵守波兰目前的支气管炎治疗指南.
- 评估在患有支气管炎的住院婴儿中使用的非推检查和治疗的程度.
主要方法:
- 一个多中心的回顾性队列研究在四个波兰儿科部门进行.
- 从2021年1月至2022年12月期间,住院患有急性支气管炎的24个月以下的629名婴儿收集了数据.
- 医学干预,实验室测试和成像分析了遵守指南的情况.
主要成果:
- 在四家医院中观察到治疗方法的显著差异.
- 在99.5%的病例中进行了实验室血液检查;胸部X射线在1.3%44%.
- 不推的治疗方法,如静脉注射水分 (51.3%93.3%),β模仿药 (19.1%89.4%),和抗生素 (12%21.8%) 经常被使用.
结论:
- 大约70%的住院婴儿接受了目前基于证据的指导方针不支持的治疗.
- 在波兰,儿童支气管炎的治疗中,大量过度使用非推药物.
- 迫切需要将基于证据的指导方针应用于支气管炎治疗的临床实践.
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