北京成人急性腹泻的诊治与指南存差距

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2、1li_i132doumalofChinesePharmaceuticalScienceshttp．'／／www．jcps．ac．cnManagementofacutediarrheainadultsinhospitalsinBeijingdidnotadherewelltoManatsathitworkingpartyguidelinesFengqinHou，YanWang，JunLi，YingLiu，GuiqiangWang1．DepartmentoflnfectiousDiseases,Peking

3、UniversityFirstHospital,Beo'ing100034,China2．MedicalDepartment,Beaufour-Ipsen(Tianjin)PharmaceuticalCo．，Ltd,Tianjin300384,ChinaAbstract：Howhospitalphysiciansadheretoguidelinesonmanagementofdiarrheainadultshasnotbeenadequatelyassessed．ThepurposesOfthisstudyw

4、eretoevaluatethemanagementofacutediarrheainadultsandtoassesstheadherenceofhospitalphysicianstotheManatsathitworkingpartyrecommendedguidelines．AcrosssectionalsurveywascarriedoutduringMavtoJulY2011amongphysiciansin10hospitalsinBeijing．China．Datawerecollectedf

5、or400patients(208femalesand192males)withthemeanageof(35．5士14．81years．Overall357(89-3％)patientspresentedwithwaterydiarrheaand43(10．7％)patientspresentedwithbloodydiarrhea．Of357patientswhoneededfluidandelectrolytetherapy，however，upto114(31．9％)patientswerenotor

6、deredanyfluidandelectrolytereplacement；althoughonly28f7．8％1actuallysupposedtousetheantibioticsduetoanageofhigherthan65yearsorbeingimmunologieallycompromised，however，186(52．1％1wereprescribedantibioticswhichsignificantlydeviatedfromtheguidelinesrecommendedbyt

7、heManatsathitworkingparty．Antimotilitydrugswereonlyusedinsevenpatientswithwaterydiarrhea．whichwasin1inewiththeguidelines．HospitalphysiciansinBeijingdidnotadherewelltotheguidelinesforthemanagementofacutediarrhea．Physiciansmightneedtoberefreshedontheguideline

8、sinthisspecificfield．Keywords：Acutediarhea；AduIts；Cross．sectionalsurveyCLCnumber：R954Documentcode：AArticleID：1003—1057(2014)2—132—061．IntrOductiOniSOtennotneededunlessthepatientswithmoderatetoseveredehydrationorseverevomiting．ForpatientswithAcutediarrheaina

9、dultsisoneofthemostcommonbloodydiarrhea，antibioticsarerecommendedafterhavingdiseasesaroundtheworld[-4]Specifically，insouth—eastexcludedenteritisbyenterohaemorhagicE．coli．ActuallyAsiatheincidenceofdiarh