摘要
目的评估我国临床医师对社区获得性肺炎(CAP)诊断和治疗的认知水平。方法通过学术讲座形式召集临床经常接诊CAP患者的一线医师,总共调查中国5城市的606位医师,其中90%为临床一线医师,采用电子问卷和答题器进行匿名调查。结果参加调查的临床医生能正确和恰当处理CAP诊断和治疗中的一些基本概念。但对肺炎链球菌耐大环内酯的认识不足,对肺炎链球菌耐b-内酰胺有些夸大,有1/2的医师不肯定CAP的初始治疗是否需要覆盖不典型致病菌。结论广大临床医生具备CAP诊治中的一些基本知识,但对细菌耐药和初始治疗是否需要覆盖不典型致病原存在认识不足。有必要进行针对性的医学继续教育。
Objective To evaluate the cognition level about the management of community acquired pneumonia （CAP）. Method The clinicians who care for patients with CAP were invited to the symposiums on CAP There were 606 clinicians whom came from 5 cities in China enrolled in this investigation and during this event, an anonymous questionnaire survey was conducted among them with electronic questionnaire and answering question. Results Majority of them would like to follow the guidelines to manage their patients and they knew the importance of etiology in the target treatment of CAP. But most of them did not realize that the Streptococcus pneumoniae resistance to macrolides was a big problem. Half of them were not sure if it was necessary to cover atypical pathogen at the initiate treatment of CAP. Conclusion Continue medical education on CAP management is necessary and obligatory in clarifying some important issues in the management of CAP.
出处
《中华肺部疾病杂志（电子版）》
CAS
2011年第5期24-29,共6页
Chinese Journal of Lung Diseases(Electronic Edition)
关键词
社区获得性肺炎
肺炎链球菌
不典型致病原
静脉-口服序贯治疗
Community acquired pneumonia
Streptococcus pneumoniae
Atypical pathogens
Intravenous-oral switch treatment
