Jiangsu hits out and manages the use of antibiotic severely

Jiangsu hits out and manages the use of antibiotic severely
Jiangsu hits out and manages the use of antibiotic severely
The antibiotic assortment which the tertiary hospital of the network news Jiangsu sells of dragon's tiger does not exceed 50 kinds, advanced very beginning spores sold can't exceed 13 pieces of assortment. Jiangsu is hitting out and managing antibiotic to use the unreasonable phenomenon severely, yesterday, the reporter learns from the department of public health of Jiangsu Province, a few days ago, they issue " Jiangsu Province tertiary the intersection of hospital and 50 antibacterial medicine classify, select instruction " (the following abbreviated as " opinion ") ,Provide and select the opinion as to 19 kinds of antibiotic. Instruction: The advanced very beginning spore that the tertiary hospital sells does not exceed 13 assortment " opinions " to require, three generations and spore's fungus of four generations are plain (including compound preparation) Oral dosage form of one kind of antibacterial medicines should not exceed 5 product rules, it doesn't exceed 8 product rules to inject dosage forms. Carbon blue and green mould alkene antibacterial medicine inject dosage form, exceed 3 the intersection of product and rule, the intersection of Fluorine and the intersection of quinoline and the intersection of promise and ketone antibacterial the intersection of medicine and oral dosage form and inject dosage forms, respectively less than 4 product rules, the deep varieties against fungi type antibacterial medicine do not exceed 5 product rules. Need to select the clinical therapeutic guide of all kinds of infective diseases for use and recommending medicines preferably; Select for use " Ministry of Public Health office manage about question notice " common surgery that give a recommendation prevent from using the antibacterial medicine " about antibacterial the intersection of medicine and clinical practice preferably; Try hard to select the medicine within the antibacterial medicine differentiated control catalogue that Ministry of Public Health issues for use. Cover the existing antibacterial medicine to dissect as much as possible in the variety is distributed - treatment - chemical constitution (ATC) Classification, give consideration to antimicrobial of narrow table and wide table; Pay the utmost attention to the intersection of clinical application and used to it and curative effect at variety choose, choose curative effect or the intersection of security and the intersection of and clinical the intersection of materials and abundant medicine, try not to select or select the medicine with serious bad reaction and bad reaction centres or professional academic periodicals at all levels to have medicines of numerous bad reaction reports few. In the dosage form product rule is chosen, try hard to choose the medicine of existing dosage form of the same common name, product with more complete rule, in order to give consideration to pediatrics and special crowd and use medicine; Give consideration to the brand, quality, price and service, the reliable medicine of prior choice brand, avoid choosing bad unusual fluctuation of medicines, supplying the medicines of the bad enterprises of production and marketing recorded and refused to mend one's ways despite repeated admonition in time, the after-sale service is not good,etc.; The intersection of prior choice and the intersection of quality and reliable and the intersection of price and advantageous medicine, consider quality and price factor synthetically, not merely regard price as the decisive factor. Implement specifically: The hospital makes antibiotic that the tertiary hospital of antibacterial medicine catalogue uses to need within 50 kinds by oneself, it is introduced Nanjing large antibiotic of hospital wide in variety in 100 kind about at present. Though the department of public health of Jiangsu Province announces 50 kinds of antibacterial medicines and classifies and selects the instruction, but the concrete antimicrobial catalogue is made by every hospital. Tertiary hospital confirm copy unit antibacterial medicine purchased the catalogue ' Including variety, dosage form and specification) ,Must be put on record to its health authority that authorize " operation licence of medical organization ". Certainly, catalogue of this purchase is not unalterable. Because the hospital infects a patient and treats the demand specially, need to use the antibacterial medicine that our unit purchases beyond the catalogue, can start and purchase the procedure temporarily. Purchase, must file an application by clinical department temporarily, ee and antibacterial medicine through discussion by the intersection of medicine and the intersection of thing and management with the intersection of medicine and the intersection of therapeutics and the intersection of committee and antibacterial medicine, temporary by the pharmacy department to at one time buys and uses, and is appointed the special messenger to follow and supervise by the medical matters department. It can't exceed 5 times in one year to purchase the procedure the antibacterial medicine variety of the same common name temporarily for, if exceeds 5 times, should organize by unit and discuss whether to list in the antibacterial medicine of our unit and purchase the catalogue or not. The total variety of antibacterial medicine of purchase catalogue after adjusting is counted and can't increase. The expert understands: Gentamicin has not basically needed " opinion " to require, the carbon blue and green mould alkene antibacterial medicine should not exceed 3 product rules to inject dosage forms. Nanjing some medicine of the first, second and third hospital head of the department tell reporter whether in fact, large than the intersection of very beginning and the intersection of spore and three generations, four the intersection of generation and lethality in human body antibiotic this, the ordinary patients do not all use, only the patient in ICU can use. " opinion " mentions, gentamicin is the intestinal experience administration that oral administration used and prevented the intestine from infecting, the biliary tract is developed, the bladder is developed, atomization inletted of surgery into in front of operation. In fact, because of bad reaction of gentamicin, already seldom use this medicine at being clinical. However, this medicine has very good effect on bacillus of green suppuration, if need to use this medicine, the doctor can do risk assessment, if the fraud is greater than the profit, would not use this medicine easily. Sulfanilamide antibiotic may penetrate the brain protective screen, treating meningitis waits for disease to have very fine curative effect. Staff reporter Li Hua


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