Saturday, October 27, 2012

Manage - great infusion - must prescribe desperate medicines to the ill

Manage - great infusion - must prescribe desperate medicines to the ill
Manage - great infusion - must prescribe desperate medicines to the ill
Manage - great infusion - must prescribe desperate medicines to the ill
The national development and reform committee relevant person of news of Xinhua Journalism Website says recently: China's infusion spends 10,400 million bottles in the whole year of 2009, in other words 1,300 million people everybody loses 8 bottles of liquid, well-above 2.5-3.3 bottles of levels in the world. This news spreads out of, cause the society to be in commotion. The infusion has become main treatment means for the last few days, the weather in Nanjing is very cold, the infusion room of emergency department of every hospital of Nanjing nearly has no empty seat, even there are parents to infuse bringing the child to wait in the hall in the children's hospital of Nanjing. The reporter ask a head nurse, have a fever without infusing to make into and have an injection, OK? This nurse says in surprise: "No one has already had an injection, that come here is infusion. " "Remember I caught a cold while having a fever each time as a child, parents all pulverized tablet, pinch nose, irritate, go down, really serious to take the hospital to and have an injection. " Nanjing citizen Zhang QingSheng says, when I wonder, all wanted the infusion while seeing the doctor to the hospital, memory that having injection has already become childhood. Head of the department tells reporters the hospital emergency call of a medium-sized scale in Nanjing, their monthly infusion amount is among 13,000-16,000 bottles, have already become the main means to treat. "The exactly biggest antibiotic of infusion amount. " Director Zhang Zheng of the emergency department of the first hospital in Nanjing says, twenty or thirty years ago, infect child that have a fever, have one injection unit of antibiotics, can be affective, not all right in now, want, must send 1,600,000 the above, such heavy dose of the intersection of medicine and buttock to get to people, will cause the contracture of gluteus, especially the child, the position of having injection will initiate muscle fibre necrosis, will also influence skeleton development, so while making the healing solution, the doctors will all consider giving children infusion. Excessive infusion cause is complicated, will result in not having antibiotic that can be used Compatriot's infusion amount is so great, it is a simple medical question to seem to be, in fact the back involves multiple reasons such as the medical mechanism, system, society's sincere, national health knowledge accomplishment,etc.. "Child's cold has a fever to see the doctor, if doctors do not hang water, parents will think you pay attention to. On the clinic, parents demand to give child proportion of hanging water to account for more than 30% voluntarily. " Nanjing the intersection of city and the intersection of children's hospital and the intersection of emergency department and the intersection of moral and director Zhao say infant parents itching first liquid fail usually, the child, on these should do the trick. "Certainly the doctor's self-protection has encouraged the arrogance of the great infusion too. Such as some infective diseases, it is advisable to use low-grade antibiotic, but some doctors come up to use heavy dose of top-grade antibiotic first, in this way the patient recovers quickly, think you competent and otherwise may complain you. " The hospital doctor Wang Xudong of emergency department of Nanjing drum-tower says, this has increased the patient's using medicine amount virtually. Another so many important reason of compatriot's infusion, still with present and general " raise medicine with medicine " The mechanism concerns certainly. According to insider: Our province official the intersection of regulation and large the intersection of hospital and medicine account for than unable to exceed 47%, in some high having no little characteristic hospital of technology also level at present, " sell medicines " Support two rule of hospital, medicine account for than usually account for 70%-80% of gross income of hospital, and lose top-grade antibiotic for patients, the fastest and safest method of making money. Loud infusion, abuse antibiotic though has supported the hospital in short term, in the long run, offer as a gift and suffer from infinitely. According to relevant statistics of Ministry of Public Health: Everybody in the country consumes antibiotic as 10 times of U.S.A.! The ones that make people shocking include the following data: China have 200,000 people die of the intersection of medicine and bad reaction nearly every year, abuse death that antibiotic lead to the fact, account for 40% among them. In 1,800,000 existing deaf and dump children in China, 60% result from hurting by the medicine; 10 million deaf and dump philtrums, 60%-80% relate to medicine bad reaction. "Abroad, still generally use like the intersection of man and the intersection of amine and the intersection of card and that, the intersection of gentamicin and these low-grade antibiotic, at home, these medicines were not used more than 10 years ago. " The intersection of moral and director Zhao say, what the great infusion causes is not merely economical waste, cause another great evil consequence even more, that is that new antibiotic researches and develops the speed, can not be able to bear the speed that the nature bacterium appears. Emerging in recent years " The super bacterium " ,Has already sounded the alarm for the mankind, " the mankind will not have had antibiotic that can be used in the future " Perhaps it is not the sensationalism. Use medicine rationally, call the law and get involved with strength "In U.S.A., someone describes ' buy antibiotic even more difficult than to buy rifles ', it is obvious that is strict with antibiotic management. Moreover, there is not infusion room in most hospitals in U.S.A.. " Drum-tower director and assistant of Nanjing, medicine teach Wu Chao, division chief of place how to have deep feeling for this: The foreigners that come to the hospital to see cold, often only require the doctor to drive some board blue root, small Radix Bupleuri,etc., require infusion voluntarily seldom, and Chinese just the opposite, think the infusion treatment, the result is faster than to take medicine, have an injection. So, relevant experts think, there is no harm in using the foreign advanced experience of management for reference, grade or classify and manage medicines such as antibiotic,etc. strictly. Low age and service seniority doctor, can only prescribe the 1st generation of and the second generation of antibiotic, it can be used that there must be doctor's signature of director's ranks in top-grade antibiotic. Treat rationally, call upon so much year, but result good, key lie in, lack the strong means supervise. The expert is thought, if really implement " medicine to break up the family " ,The hospital sees the doctor by all means, no matter sell medicines, the doctor prescribes and is not driven by the interests, the hospital does not need to support oneself through creating income, the great infusion will be reduced greatly. Secondly, should utilize the legal means to supervise and abuse medicines, for example to the great infusion without indication, the doctor will even pay the cost of imprisonment, it is " violent " to leave only to the ill Medicine, could stop the great infusion phenomenon fundamentally. Staff reporter Zhong ChongShan



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