The hospital prescribes antibiotic to take " The inhibition " Six major reasons result in abusing

The hospital prescribes antibiotic to take " The inhibition " Six major reasons result in abusing
This year, the Ministry of Health will take measures to abuse the question to renovate antibiotic of medical organization in an all-round way. It is reported, " antibacterial medicine management of medical organization " will be issued in the near future, the antibacterial medicine will implement differentiated control, the clinic antibiotic rate of utilization of tertiary hospital should drop to less than 20% - -Namely in 100 clinic prescriptions, the prescription with antibiotic can't exceed 20. This proportion is well below 30% of the standards of World Health Organization.
Some antibiotic can only the large hospital use
At the beginning of this year, a media of Beijing once investigated 100 colds patient's prescription, among them 78% of the prescriptions contain antibiotic, nearly accounts for nearly eighty percent. It is five sixfold which does not use the average expenses for medicine of antibiotic with the expenses for medicine of prescription of antibiotic. In the future, this kind of situation is expected to be be controlled strictly.
Yesterday, it showed clearly, " antibacterial medicine management of medical organization " was in course of making as soon as possible that Ministry of Public Health cured Zhao MingGang, Vice chief of policy department, will collect the opinion to the society publicly soon. One of the most important points is in this " method ", should manage the classification to antibiotic, divide antibiotic into limiting type, not limiting type and special management these three big classes, it is different too that the medical organization of different ranks can use the kind against fungus medicine. Some antibiotic can only be used in the large tertiary hospital.
In addition the intersection of hospital and clinic in the future, patient's rate of utilization against fungus medicine have a clear index requirement in hospital, for example the tertiary hospital clinic patient's rate of utilization against fungus medicine should be limited to 20%, this proportion should be far lower than the standard that World Health Organization recommend.
MingGang Zhao say the intersection of antimicrobial and variety and dosage form beyond have special case need, use hospital allow really, need to pass the corresponding examination and approval procedures, can be temporary to at one time buy medicines.
Meanwhile, the Ministry of Health will strengthen to the supervision inspection against drug use of fungus of the hospital, spot check and check regularly at random.
The extremely specific doctor abuses antibiotic in order to take commission
The patient thinks, antibiotic is mainly abused because the antibiotic price is high, the doctor make and can take commission more. As to this, Ministry of Public Health said yesterday, the extremely specific medical worker was really having medical ethics, curing the wind problem, lead to the fact it is unreasonable that antibiotic is used.
Zhao MingGang mentioned, there are more than 7 million medical workers in our country, no matter health authorities supervised and discovered in the course voluntarily every year, it is used that the antibacterial medicine caused because of medical ethics question to come out exposed in dependent event, case is unreasonable, personnel's quantity involved is still a few. The Ministry of Health will strengthen the medical ethics to the medical worker to educate on one hand, on the other hand will even strengthen the punishing of personnel to violating disciplines.
As to the one that spread in the society " To able to bear medicine rate, up to 100% penicillin at present " Statement,there are inaccurate without being regarded ased MingGang on Zhao, be played an important role on uses clinical still penicillin.
" 200,000 people died in the medicines bad reaction " Unureal
Once a media reported before this: 2,500,000 people are admitted to hospital because of the medicine bad reaction every year in our country, 200,000 people died in the medicines bad reaction, 40% die from antibacterial drug abuse.
Yesterday, Ministry of Public Health shows clearly, these figures are unfounded seriously, national the intersection of food and medicines supervise administration bureau medicines the intersection of bad reaction and medicines that monitoring center receive respectively 2009 and 2010 figure of bad reaction 650,000 and 690,000. The death case that the bad incident of medicine that will be reported in 2009 causes is 500, it will be 600 in 2010, it is 1100 to add up in two years.
About the operating position of antibacterial medicine of our country, Zhao MingGang says, according to monitoring, the amount of money of consumption against fungus medicine is dropping progressively in recent years. Clinic patient and patient's rate of utilization against fungus medicine in hospital are dropping, using the intensity to reduce of the antibacterial medicine.
Have not increased the super bacterium's case newly now
It is a appearance of the super bacterium that antibiotic abuses the consequence caused. Before this, Ministry of Public Health has announced 3 super bacterium's cases appear in our country.
Yesterday, Zhao MingGang said, have not found the new super bacterium's case up till now. " super bacterium " It is everybody's call sanctified by usage, the high concern of our country after appearing by the report, monitor in the medical organization.
Ministry of Health set up antibacterial the intersection of medicine and the intersection of clinical practice and monitoring net, bacterium, able to bear the intersection of medicine and monitoring net and use medicine monitoring system rationally, strengthen monitoring and assessment of clinical practice of medicine.
The news is extended
Six major reasons cause antibiotic to abuse
The hygiene part is analysed, specific medical organization and medical worker of our country really have phenomenon of unreasonable application of antibacterial medicine, there is a main reason of six respects among them.
1,The medical worker at the basic level opposes the understanding of the fungus medicine and still remains to further improve at present.
2,Some medical workers are in order to avoid doctors and patients' dispute, use the antibacterial medicine according to the requirement of patient and his relative.
3,Some medicines marketing behaviors of manufacturing enterprise are unstandard, in addition the extremely individual medical worker has medical ethics and atmosphere problems, lead to the fact what antibiotic is used is unreasonable.
4,The public use against fungus medicine consciousness to be relatively weak rationally, some patient uncomfortable to want, take antibiotic right away health have, some patients will go to the hospital to prescribe antibiotic voluntarily, others will be gone to the pharmacy to buy directly.
5,There are some profound questions, such as compensation mechanism of the public hospital being non- complete, " mend medicine with medicine " Mechanism here hospital li play a very important role still.
6,Many kinds of factors lead to the fact the patient opposes the medicine sensitiveness of fungus to reduce before making a diagnosis, the medical worker is in order to obtain the good therapeutic effect, have to improve the antibacterial medicine consumption and employ the intensity in the clinical treatment.
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