Antimicrobial of monthly examination " Limit the use of the order " : Prescriptions are still many " The fungus "

Antimicrobial of monthly examination " Limit the use of the order " : Prescriptions are still many " The fungus "
Antimicrobial of monthly examination " Limit the use of the order " : Prescriptions are still many " The fungus "
The expert appeals for using medicine rationally, improving the corresponding mechanism News network of Shenzhen Report September 15 (the intersection of dragon and morning the reporter Zhong WeiMei Xu, probational reporter of Shenzhen Evening) Antimicrobial is exposed to most medicines in the daily life, but will bring to abuse antimicrobial to health and endanger seriously. Ministry of Public Health statistics show, 68.9% of the impatients in China use the antibacterial medicine, 100 patients consume the antibacterial medicine of one of 80.1 people in one day on average, it is more than one time of the global average which World Health Organization releases. In order to promote medical organization and medical worker to use medicine rationally, hygiene and population Family Planning Commission (defend people's committee) of Shenzhen Issued " notice on further advancing the antibacterial medicine clinical practice special renovation activity of our city " on the 16th last month, tomorrow notify for one month when issue, how about notifying and implementing the situation? Brought such a question, reporters visited several hospitals in Shenzhen yesterday, found the situation was not very optimistic. Manage antimicrobial to abuse severely in a policy In one month, defend person's committee through sending the notice, signing the responsibility contract etc., renovate antimicrobial and abuse the situation severely. It is reported, stipulate in " notice on further advancing the antibacterial medicine clinical practice special renovation activity of our city " issued on August 16, the antibacterial medicine variety of tertiary hospital does not exceed 50 kinds in principle, second hospital antibacterial medicine variety does not exceed 35 kinds in principle. In addition, patient's antibacterial medicine rate of utilization does not exceed 60% in hospital, the prescription proportion of antibacterial medicine of clinic patient does not exceed 20%. The notice requires, as to the doctor against fungus medicine of unreasonable use, health authorities or medical organizations warn in accordance with the rule in accordance with the law according to actual circumstances, rectify and improve, suspend prescription right, cancel prescription right, demote using, revoke " doctor's practising certificate " etc. to deal with within a definite time period, as to having a medical organization of the clinical unreasonable application problem of antibacterial medicine seriously, will investigate the responsibility of chief leading cadre of medical organization. In addition will it be 2 this month, defend the intersection of people and committee with the intersection of our city and second more than public hospital, private representative, director of hospital, sign responsibility contract while being municipal, promise to reduce and have the using proportion against fungus medicine clinically progressively in 3 years, make its control in the fixed range. And is defending people's committee also in issuing " notice on further strengthening institutional improvement of using medicine of sunshine of medical organization of our city " on the 9th of this month, besides continuing putting emphasis on controlling antimicrobial to use the quantity, also stipulate the amount of money of tertiary antibacterial drug use of general hospital can't exceed 20% that hospital medicines used the total amount of money; Second and first class general hospital can't exceed 15%, make medicines with serious unreasonable problem of using medicine inactively and deal with. 2 investigations 80% of the infusion forms include antimicrobial Antimicrobial " Limit the use of the order " Assign it over one month, how is the result implemented specifically? Yesterday, reporters visited the infusion rooms of several large-scale hospitals in our city, in 50 patient's infusion forms that are collected at random, 41 contain antimicrobial, accounts for 82% of the total number. In the form of infusion, antimicrobial used is mainly a very beginning spore, beautiful Lip river west forest,etc.. "We know, will give child to be healthy to bring negative influence with antibiotic too, but is looking after the child the disease becomes like this, make and seize in parents' heart flurriedly, only expect children can turn better as soon as possibling. " In Peking University Shenzhen hospital children infusion area, citizens Ms. Lius hold the four -year-old son to tell reporters, it is the third day that the child falls ill, if very, she plans to let the doctor choose a medicine instead again. In with exchange of parents, reporter find, get hospital it types infants to hang needle to be many because the intersection of cough, asthma and pneumonia,etc. and symptom slow down, parents had to bring child to the hospital to hit antibiotic. And like Ms. Liu, these parents are while afraid the child is abused antibiotic, do not know either that there is therapeutic method of something better. "Type antibiotic on very, must cure either while being sick. " Ms. Liu says, slightly show the helplessness in tone. It is reported Chinese medicine learn the intersection of medicine and the intersection of thing and the intersection of management and " the 2010 the intersection of Chinese and the intersection of family and medical kit survey report " that professional committee release last year reveal, 79.4% of the residents in our country have self-provided habit against fungus medicine, 75.4% of the residents are while having inflammation or colding that have a fever oneself or family, will take the antibacterial medicine by oneself, 56.7% of the residents have " abuse antimicrobial " Behavior. And have something to do with and study to reveal, 80% of the patients who uses the antibiotic do not really need antibiotic in fact. Most of 3 patients fail to see antimicrobial "Should very beginning spore, penicillin be antimicrobial? " In the hospital of city two, citizens Mr. Zhang tells reporters like this. In the investigation, the reporter finds, except that it is still larger that antimicrobial use the quantity, as to what is antimicrobial, some citizens are affectedly bashful inaccurate too. On Mr. Zhang's infusion form, reporters saw spore's west cube sodium and took the place of two kinds of antimicrobial of nitre thiazole, Mr. Zhang says, spore has heard of the very beginning, it will be strange a lot soon but take the place of nitre thiazole. "We do not understand the medicine which the doctor used very much, even if ask there is not bottom in the heart on doctor's function of the medicine. " Mr. Zhang says, " the doctor tells me that these medicines can cure throat inflammation, I think the doctor has a professional level, how to use medicines is the doctor's thing, as the patient, I only want to speed up, don't delay going to work. " Mr. Zhang says, while hoping the related departments are controlling antimicrobial to use, also can educate and propagate citizens, help citizens to discern the relevant medicine. Except not knowing what antimicrobial is, the children's hospital respiratory medicine archiater Zheng YueJie of Shenzhen expresses too, many patients often obscure while using medicine too " Antimicrobial " , " antibiotic " And " antiinflammatory agent " The concepts of the three. "Ordinary people often regard antibiotic as antiinflammatory agent, but antibiotic is mainly for inflammation that the bacterium causes and treated, and besides bacterium, virus,etc. is one of the reasons to cause inflammation. " YueJie Zheng point out, have mistaken idea know, wrong administration can't cure the disease, have injured the body instead. In addition, Zheng YueJie points out, antibiotic is " antimicrobial " One kind,except antibiotic in antimicrobial, curing fungi to include medicine. 4 parents administration has mistaken ideas According to the introduction of Zheng YueJie, since the related departments issue the relevant notice and manage the use of antimicrobial, the antimicrobial variety of children's hospital is reduced from 60 multi-type to less than 50 kinds at present. In addition, the rate of utilization on the surgical sick bed of antimicrobial is reduced to 30% at present by more than 50% before this. In municipal defend the intersection of people and committee, issue notice, hospital issue serial measures about antibacterial relevant regulation of drug use according to Ministry of Public Health already. However, Zheng YueJie shows, in actual operation, some parents will demand to use antimicrobial voluntarily. "Antimicrobial can't be abused, the doctors all understand from theory, and it have the one that is guided that antimicrobial is used, but now a lot of patient, especially the intersection of infant and parents, it is good to speed up for the disease, demand to use antimicrobial voluntarily. " Zheng YueJie says, considers the relationship between doctors and patients is tense, in order to let the condition controlled as soon as possible, some doctors have to meet the requirement of patient and relative, even use many kinds of antibiotic at the same time, and in fact, upper airway infection such as more than 90% of the colds, having a fever are caused by virus, do not need to use antibiotic. In every large hospital, the reporter finds many citizens have such a view, regarding antimicrobial as " Omnipotent medicine " While,it also want by antimicrobial that is most expensive without being used in doctor even some. As to this, Zheng YueJie points out, the result against fungus medicine can't be equivalent to with the price, different because of reasons for causing disease, antibacterial medicine quantity uses greater and greater, it is more and more advanced to use, do not mean it is the more affective. "Abuse antimicrobial is not merely apt to cause, able to bear nature, antibacterial apt to make child treatment fungus group lack proper care in the body for a long time, aggravate the child's condition. " Zheng YueJie says, abusing antimicrobial will present the symptoms of lasting high fever, diarrhoea continuously, not only can't solve the problem, but also will injure child's body, if things go on like this, will cause the vicious circle. 5 guarantee improves the system and uses medicine correctly As to the use against fungus medicine, Zheng Yue's outstanding view is, should prevent from abusing, but can use, in the middle of this, how set up complete system, let antimicrobial must their spend, right away seem very much important. "Antimicrobial is the clinical essential using medicine, the antimicrobial that if should be used exceeds standard without daring to use because of the using proportion, a lost one is the patient finally, should treat antimicrobial and use the question practically, the more important thing is to use medicine rationally. " Zheng YueJie says, in the course of preventing abusing antimicrobial, will set up complete test mechanism too. "Abroad, can use antimicrobial, there are a set of systems. " Zheng YueJie says, the looks is relatively in our country, there is comparatively complete checking the system abroad before using medicine, only tested and measure, after being confirmed to be from the bacterial infection, doctors could use antimicrobial. Jump outstanding to it seems in Zheng, such a system not only lets the administration be more pointed, have also avoided the harmful effects that doctor's subjective mistake causes. And at present, though the related departments of our country stipulate the above- second -class hospital accepts antibacterial drug therapy in hospital patient's microorganism examines the inspecting of samples by ready samples rate without lower than 30%ing, jump outstanding to seem, store in enough still carry out, in Zheng. In addition, Zheng YueJie thinks, in the use of antimicrobial, there are two major subjects of medical worker and patient, while restricting medical worker, should strengthen the correct understanding that a patient oppose fungus medicine too. It is reported U.S.A. begin, pay attention to antibiotic abuse issue as far back as 1960, and proclaimed in writing to control. At present, buy antibiotic in U.S.A., want three doctor, pharmacy, supervision and close, the doctor has a meeting arbitrarily and is punished. In Britain, the government, through holding nationwide" antibiotic use the propaganda activity " ,Remind people to make sure not to abuse antimicrobial. In addition, besides medical professional personnel, British Ministry of Health also proposes joining education course against fungus medicine prescription principle in national basic educational course, besides medical professional personnel like this, people can know the harm of becoming reconciled of applicable disease of antimicrobial too.


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