中国西南部初级医疗机构抗生素过度使用和误用的临床模式

数据集获取（Figshare）

• 源站标题：Clinical pattern of antibiotic overuse and misuse in primary healthcare hospitals in the southwest of China
• DOI：10.1371/journal.pone.0214779
• 发布日期：2019-06-26
• 文件数：2 个
• 文件总体积：8.10 MB
• 源站页面：https://plos.figshare.com/articles/dataset/Clinical_pattern_of_antibiotic_overuse_and_misuse_in_primary_healthcare_hospitals_in_the_southwest_of_China/8327573

命令行下载

curl -L -o "pone.0214779.s001.docx" "https://ndownloader.figshare.com/files/15608399"
curl -L -o "pone.0214779.s002.xlsx" "https://ndownloader.figshare.com/files/15608402"

文件清单

• pone.0214779.s001.docx（20.96 KB）
• pone.0214779.s002.xlsx（8.08 MB）

文件总体积 8.10 MB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Purpose
Overuse and misuse of antibiotics are the primary risk factors for antibiotics resistance. Inadequate professional competence of primary care physicians might exacerbate these problems in China. This retrospective study aims to document the clinical pattern of antibiotics use and its overuse and misuse rates in rural primary care institutions and to evaluate the association between antibiotics use and characteristics of physicians and their patients.
Methods
Medical records from 16 primary care hospitals in rural areas of Guizhou province, China were obtained from the Health Information System in 2018. Classification of unnecessary use, incorrect spectrum of antibiotic, escalated use of extended spectrum and combined antibiotics use was based on the Guiding Principle of Clinical Use of Antibiotics (2015, China) and guidelines from the US Centers for Disease Control and Prevention. Generalized Estimating Equations were employed to determine predictive factors for inappropriate antibiotics use.
Results
A total of 74,648 antibiotics prescriptions were retrieved. Uncomplicated respiratory infection was the most common disease accounting for 58.6% of all prescriptions. The main antibiotic group used was penicillins (51.5%) followed by cephalosporins and macrolides (14% each). Of 57,009 patient visits, only 8.7% of the antibiotic prescriptions were appropriate. Combined use, escalated use of extended spectrum antibiotics, incorrect spectrum and unnecessary antibiotics use was found in 7.8%, 1.9%, 4.3% and 77.3% of patient visits, respectively, of which 28.7% were given intravenously. Antibiotics misuse was significantly more likely among newly employed physicians with lower levels of professional education. Adult patients and those who had public insurance had a higher risk of being prescribed unnecessary antibiotics.
Conclusion
Overuse of antibiotics for uncomplicated respiratory infection and use of cephalosporins, macrolides and injection antibiotics in primary care are the major problems of clinical practice in rural areas of Guizhou.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0214779（source: https://plos.figshare.com/articles/dataset/Clinical_pattern_of_antibiotic_overuse_and_misuse_in_primary_healthcare_hospitals_in_the_southwest_of_China/8327573）。