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《Chinese Journal of Clinical Rational Drug Use》 2017-12
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Application effect of clinical pathway management in infantile capillary bronchitis and the impact on antibiotics utilization ratio

LI Lei;XU Hui-yan;ZHOU Jie;Department of Pediatrics,the People's Hospital of Nanpi County;  
Objective To discuss the application effect of clinical pathway management in infantile capillary bronchitis and the impact on antibiotics utilization ratio. Methods A total of 75 cases of children with capillary bronchitis were selected from October 2014 to April 2016 in the People's Hospital of Nanpi County as study group,children were selected from October 2013 to September 2014 as control group. Study group was given clinical pathway management,control group was given conventional management. In the implementation of clinical pathway management of study group,managed the application of antibiotics as a variation factor,and set the rise of PCT and CRP,WBC and positive bacteriological for applied indications. The cure rate,antibiotics usage rate,nosocomial infection rate,costs of hospitalization,costs of medicine,hospital stay,readmission rate in two weeks and nursing satisfaction were compared between the two groups. Results No statistically significant difference of cure rate was found between the two groups( P 0. 05); the study group of antibiotics usage rate was lower than control group( P 0. 05). One case of child had nosocomial infection in study group. No statistically significant difference of costs of hospitalization was found between the two groups( P 0. 05),the study group of costs of medicine was lower than control group,hospital stay was shorter than control group,nursing satisfaction was higher than control group( P 0. 05). Conclusion Clinical pathway management in infantile capillary bronchitis can promote the reasonable application of antibiotics and reduce the usage rate of antibiotics.
【CateGory Index】: R725.6
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