The antibacterial drug abuse in Jiangxi changes Do not do the blood and examines a doctor and does not prescribe antibiotic

The antibacterial drug abuse in Jiangxi changes Do not do the blood and examines a doctor and does not prescribe antibiotic
The antibacterial drug abuse in Jiangxi changes Do not do the blood and examines a doctor and does not prescribe antibiotic
On the 22nd, the reporter learns from the Ministry of Health, the most severe " clinical practice management of antibacterial medicine " has already finished the draft to known as the history, enter, revise stage finally, plan in issue recently. Meanwhile, the reporter is from (Jiangxi) The department of public health of the province learns, our province has launched the antibacterial medicine clinical practice special renovation activity in the past half years, the result has already appeared tentatively, the antibacterial medicine rate of utilization and using the intensity to drop obviously of most hospitals. Investigate secretly: The doctor refuses not to check and prescribe antibiotic for 22 days arbitrarily, the reporter comes to the second hospital in Nanchang, investigate secretly on the grounds that the throat aches, sends low fever. Then, the reporter examines the blood. When the reporter examine the result of the blood to give to the doctor, the doctor says, the reporter's health is not infected, do not need to take antibiotic, only need to take some medicines to clear away heat and detoxify. Immediately, reporter come prosperous sophomore period enclose hospital, the intersection of Nanchang and the intersection of city and the intersection of first hospital,etc. and many hospitals again. When the reporter expresses voluntarily that hopes a doctor can prescribe some antibiotic and come back home to treat cold, have got the doctor's refusal. Some doctors tell reporters directly even more: "You can think haphazard food antibiotic? " Tight rule: Clinic patient's rate of utilization can't be greater than for twenty percent 22 days, the department of public health of the province cures the relevant persons in charge of policy to tell reporters, our province has concentrated on launching the antibacterial medicine clinical practice special renovation activity within the range of the whole province this year. The reporter knows, according to the regulation, 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; The medical organization is in hospital patient's antibacterial medicine rate of utilization does not exceed 60%, the prescription proportion of antibacterial medicine of clinic patient does not exceed 20%; Patient's surgery prevents from using the time of antibacterial medicine to control between 30 minutes and 2 hours before the skill in hospital, Is notch operation patient prevents from using the time of antibacterial medicine to less than 24 hours. "In addition, we require the tertiary public hospital of the whole province, must organize to having prescription which the antibacterial medicine prescription right doctor opens, doctor's order to comment on each month, promote the hospital to use medicine rationally. " Effect: Expenses for medicine reduce " at present, the whole province the intersection of medicines and income account for medical the intersection of income and total the intersection of amount of money and proportion, reduce to 46% by 49.8% before this to some extent; The proportion that the amount of money of antibacterial drug use accounts for the gross income of medicines is reduced to 25.4% by 31% before this. Patient's antibacterial drug use intensity and rate of utilization drop notably to in hospital. We can say, the accusing of severely of antibacterial medicine, has reduced the expenses for medicine to a certain extent. " This person in charge tells reporters, before this, our province superintended and checked 29 the province, tertiary hospital of market together, most medical organizations can investigate and prosecute the unreasonable operating position of antibacterial medicine strictly in the course of implementing. "Have abused the phenomenon of antibiotic, certain containment. " Question: Some medical workers abuse the antibacterial medicine at the same time, this person in charge says frankly too, it is more serious that some hospitals and medical workers inside the province abuse the situation against fungus medicine. "The rate of utilization that some hospital clinic patients use the intravenous infusion prescription is relatively high. For example, it is more than 2/3 that some hospital total amount of money of medicines income takes the proportion of total amount of money of the medical income, patient's antibacterial medicine rate of utilization is 100% of the grades that some hospitals are in hospital. These problems all still exist. " As to this, the Ministry of Health requires every medical organization to implement department's clinical application announcement system, confirm the proportion of clinical application of every department rationally, and the fixed duke shows. "We will also establish the rational administration to comment on the expert panel, use medicine to the doctor rationally the situation will be spotted check once every quarter, and notify that spots check and appraises the result. " (daily reporter Luo YanYan of information)


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