Causes Of Cough Patients In The First Affiliated Hospital Of Shihezi University

Study objectives: Understand the type and etiology of cough in First Affiliated Hospital of Shihezi University. To provide assistance for the primary hospital. To investigate the use of antimicrobial agents before treatment.Methods: Adoption of open, continuous, non-selective research, Fill in the information registration form detailed. Reference the “Cough diagnosis and treatment guidelines 2009 Edition” formulated by Chinese Society of Respiratory Disease credits and the guideline released by American College of Chest physicians(ACCP) in 2006. Use of outpatient referral and telephone follow-up way to evaluate patient outcomes.Results: A total of 504 patients surveyed, 258 cases( 51.2%)of acute cough, 109 cases( 21.6%)of subacute cough and 137 cases( 27.2%)of chronic cough. 475 cases(94.2%) were diagnosed, Single cause were 467 cases( 92.7%), double etiology were 8 cases( 1.6%).No cause of triple and above those. Etiology of acute cough distribution: 122 cases of the common cold( 47.3%), acute airway- bronchitis 120 cases( 46.5%), upper airway cough syndrome(UACS) 6 patients( 2.3%), cough variant asthma(CVA) 2(0.8 %). Subacute cough frequency distribution of specific causes : infection cough(IPC) 49 patients(45.0%), CVA15 patients(13.8%), UACS15 patients(13.8%), ACEI-induced cough seven cases, EB3 cases of chronic bronchitis episode three cases, bronchiectasis one case, the cause of four cases of double, which merged UACS with EB 2 cases, UACS with IPC 2 cases. Common causes of chronic cough were : CVA, UACS, EB, chronic bronchitis, IPC, ACEI-induced cough, bronchiectasis. In this study, 42.7% of respondents patient fails to cough etiological diagnosis processes, but to give empirical treatment. Most patients after receiving empiric treatment, cure or significantly relieve cough. 41.1% patients use antibiotic before the treatment. According to the latest cough Guide,11.5% patients with the use of antibiotic drugs pointer.39.6% patients use β- lactams,31.9% use Macrolides.Conclusion: This study can be roughly reflect the basic causes of cough in Shihezi City and the surrounding areas. Conducive to clinicians understand the local cough etiology, and help clinicians make the correct judgment for cough patients. Relieve the suffering of patients and prevent drug abuse. Meanwhile, with limited objective conditions, Conducive to clinicians empirical treatment for Patients with clinical manifestations and the distribution of the common causes of cough. The existence of the phenomenon of irrational use of antibiotics in cough treatment of Shihezi area. The department should increasing antimicrobial drug supervision. Strengthen personnel training in areas of expertise. Development of rational antimicrobial montoring system. Targeted interventions for different groups, promoting better public health in the border development.