Jiangsu attacks directly and abuses the antibacterial medicine severely

Jiangsu attacks directly and abuses the antibacterial medicine severely
Jiangsu attacks directly and abuses the antibacterial medicine severely
It is reported yesterday, the department of public health of the province " special checking activity of clinical practice of antibacterial medicine " Hold the video-and teleconference. The meeting is revealed: Within this year, the antibacterial medicine income of above- second -class general hospital accounts for the proportion of medicines income of the hospital to drop above 10 percentage points; In the antibacterial drug use of the norm, will further turn back " raise medicine with medicine " Current situation. Every great director under the province has also signed with department of public health and used the antibacterial medicine rationally " The military pledge " . Vice Chief of province department of public health yellow the intersection of grandfather and coral say present many the intersection of hospital and antibacterial clinical operating position of medicine allow of no optimist without mincing words, the main existing problem is as follows, the antibacterial medicine of clinical practice is wide in variety, the specification is messy; The high, consumption of the intensity of antibacterial drug use is great, the structure is unreasonable; Some medical organizations look for novelty, ask expensively and asking widely, it is more general that the antibacterial medicine unites the operating position; The intersection of clinician and consciousness and ability that antibacterial medicine use rationally strong, much the intersection of curative effect and uncertain, side effect old, cost performance high antibacterial medicine still use in a large amount, wait a moment. It is introduced, the antibiotic rate of utilization of the large hospital of our province is generally above 60% at present, some medium and small hospitals and community hospitals are up to more than 70%; And the proportion of the American-European developed country is only about 30%. According to relevant statistics of Ministry of Public Health: Everybody in the country consumes antibiotic as 10 times of U.S.A.. In 1,800,000 existing deaf and dump children in China, 60% result from injuring by the medicine; 10 million deaf and dump philtrums, 60%-80% relate to medicine bad reaction. This time, it is unprecedented that I save and punish and abuse the resolution and efforts against fungus medicine. The department of public health of the province has just issued " The special checking activity implementing scheme notice of clinical practice of antibacterial medicine of Jiangsu Province " The requirement, every hospital must control purchase assortment and quantity against fungus medicine strictly in the future, large tertiary hospital and the second hospital antibacterial medicine variety should control within 50 kinds, 35 kinds respectively within the year, the injection dosage forms and oral dosage forms of second, tertiary hospital and a common name should be limited to 2 kinds. Control use medicine and postoperative preventative administration in front of the skill operation, our province make clear regulation too, for example, patient's surgery should use the time of antibacterial medicine between 30 minutes and 2 hours before the skill in hospital; Preventative after the aseptic operation to use medicine time is less than 24 hours. The medical organization is in hospital patient's antibacterial medicine rate of utilization does not exceed 60%, clinic patient's antibacterial medicine rate of utilization does not exceed 20%; Within the year, the antibacterial medicine income of above- second -class general hospital accounts for the proportion of medicines income of the hospital to drop by more than 10%. The notice still requires, every hospital must organize the expert panel, pay and comment on the prescription that 25% of the doctors with prescription right of antibacterial medicine make every month, the prescription commented on is no less than 50; Circulate a notice of criticism to unreasonable the top 10 doctors who use the antibacterial medicine in the whole institute; To using the antibacterial medicine 3 or more times and not having reasonable ground in a large amount in year, can warn, suspend prescription right, cancel prescription right, revoke practicing qualification etc. to punish; If the case constitutes a crime, investigate criminal liability. The insider introduces, should change the clinical excessive current situation that uses of antibacterial medicine, besides issuing and restraining a doctor, various measures of the hospital, must change the current situation of raising medicine with medicine fundamentally, a personage speaks comparatively deeply: "Only the director does not worry, the hospital comes back public beneficially, use medicine rationally this goal could be really realized for creating income. " (second high mountain)


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