Tuesday, May 1, 2012

Per person of our country consumes 138 grams of antibiotic every year 80% of the the above belongs to abusing

Per person of our country consumes 138 grams of antibiotic every year 80% of the the above belongs to abusing
Per person of our country consumes 138 grams of antibiotic every year 80% of the the above belongs to abusing
Per person of our country consumes 138 grams of antibiotic every year, it is 10 times that of U.S.A., the first in the world Less than 20% of person really needing it, antibiotic account for 30%~40% in expenses for medicine such as Chongqing,etc. How to contain to abuse antibiotic? Municipal Health Bureau: The administration of clinic does not exceed an ordinary cold, doctors may open " very beginning spore " for you Wait for high-level antibiotic medicine, though the patient surface is quickly first-class, but the next cold, you must use such high-grade medicine, even the dosage is larger and larger. Now, the phenomenon of this kind of abuse antibiotic will be contained effectively! Yesterday, Chongqing Evening reporter learnt from Municipal Health Bureau, would hit out severely, rectified the medical treatment which abused antibiotic to condemn from respects such as quantization, examining,etc. sternly. Why restrain the tertiary hospital from not exceeding 50 kinds to the hospital Municipal Health Bureau will go on the intersection of antibiotic and the intersection of medicines and variety to quantize and manage according to the hospital rank. According to working out the standard, the tertiary antibacterial medicine variety of medical organization does not exceed 50 kinds in principle, second hospital does not exceed 35 kinds, the same common name injects dosage form and oral dosage form and does not exceed 2 kinds respectively, the prescription makes up 1~2 kinds of compound preparations that are similiar to. The relevant personage of Municipal Health Bureau introduces, has very great relations to abuse antibiotic and antibiotic medicine various in style of medical organization. "Go on, restrain from at variety, even use antibiotic, the doctors can only select in the limited variety for use. " It is qualified to prescribe according to the request of Ministry of Public Health how is it to exercise restraint in examining the doctor, antibiotic medicines divide into, restrain from, use, restrain from and use and use 3 ranks to manage specially at clinic. Namely according to patient's condition, antibiotic efficiency, each kind of antibiotic medicines has different grades that are divided. According to different ranks of the antibiotic medicine, tie to the doctor's prescription right again. This means not all doctors in the future can prescribe the antibacterial medicine. Besides passing the clinical practice of antibacterial medicine and training and examining and shutting dose, also define each doctor's corresponding antibacterial medicine prescription authority. It is likewise a doctor, if the qualified qualification that this doctor has not obtained the antibiotic medicine to train clinically, have no right to make the antibiotic medicine prescription. If is a general doctor, have no right to open the antibiotic medicine prescription exercised restraint in using or using specially. Except the above management that the administration of clinic why restrain from that to the prescription does not exceed 20%, and a control unique skill, it is to carry on control from patient's administration. According to relevant planning, 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%. Municipal Health Bureau cures the person in charge of policy to point out, according to the standard of World Health Organization, the antibacterial medicine average service rate of the hospital should be lower than 30%, and about 46.5% of rate of utilization of our country at present, patient's antibacterial medicine average service rate is about 70% to in hospital, surgical patient's rate of utilization is up to 97%~100%, the situation that excessively uses exists. Doctor what about warn until cancel the intersection of prescription and right for examine strictly first violation, the medical organization will organize professional personnel, comment on the prescription which 25% of the doctors with prescription right of antibacterial medicine open, doctor's order each month, and will spot test with a focus on clinical departments such as infectious disease department, surgery, respiratory medicine, medical department of serious disease,etc. and I surgery of notch and get involved to treat the case. According to commenting on the result, write out a prescription 3 or more times above average in presenting the antibacterial medicine and the doctor without reasonable ground will warn, limit it and use grade and exercise restraint in using one grade of prescription right specially; Later, if still wrote out a prescription above average 2 or more times and not there is not reasonable ground continuously, will cancel its prescription right of antibacterial medicine. In addition, the antibacterial medicine clinical practice situation will include in the hospital and evaluate, appraise and build the index system with the clinical key specialized department.


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