Healthday: management abuse antibiotic DuoFang need to force

healthday

        ZhengShanHai (doctor)

        New figures show that China is the United States antibiotics per capita consumption of 10 times, including eight into patients do not need to use. (October 19, the light daily)

        Should say, China's focus on the problem of antibiotics has is not a day for two days, and that there is some policies and regulations released this month, 14, also introduced a is called "the most fiscally strict" antibacterial drugs in clinical management approach. In addition, a nationwide antibacterial drugs for clinical application of special campaigns work, also in the ministry, under the leadership of the launch. Believe in the supervision of the relevant departments of the management, China will definitely get antibiotics abuse phenomena effectively.

        However, the author thought, our country antimicrobial application high proportion, is DuoZhong factors results, only multi-pronged just may get success on the management as soon as possible. Strict management of course is management is the effective means to misuse antibiotics, but in addition to the supervision and management and may need more auxiliary measures the guidance and support, to better control the escalating abuse antibiotic.

        For example: now, clinical judgment whether a patient bacteria infection, the most common laboratory is routine blood, should say one of the white blood count and classification of clinical work really play a good guidance. But, for elderly patients or some chronic infected patients, there may be sensitive enough, appear the false negatives. By contrast, a new laboratory "calcitonin the original" in the sensitivity of than routine blood, but are belong to project at one's own expenses. In fact, if the authorities will in strict supervision of antibiotics at the same time, appropriate to be similar to the "calcitonin the original" so to clinical doctors to determine "infection" status of new technology or the new method, will no doubt make clinical work more fluent some.

        In addition, the traditional Chinese medicine told "vital qi, do not do evil in deposit", relative to the use of antibiotics is concerned, how to improve the patient's general condition is also very important, and improve sense of right, only through strengthen nutrition, applied some immune strength agent to complete. At the same time, "lung and colon phase list", a lot of the lung infection patient, gastrointestinal function are bad, so ordinary nutrition support is hard to meet the needs of the patient. If, the relevant departments can timely to relax the such patients nutrition support immunity enhancement and the limitations, patients generally improved conditions, the application of antibiotics may also fell.

        There is a phenomenon note: the data shows, the United States of the day in hospital patients is 5 days, and our country is about 10 days. And be in hospital longer time will no doubt increase patient infection rates, this should is also resulted in the increased use of antibiotics important reasons.

        More concern is, at present our country hospital of relevant management is not in place, the distance between beds is not mandatory provisions, the patient friends and relatives visiting more casual, many hospital wards like free market, there are a lot of intensive care hospital (ICU) regardless of physicians and surgeons, cause a lot of need have a sterile environment surgical patients, and a systemic infections physicians adjacent...... the patient tightly

        Therefore, in view of this problem, the relevant departments should also be in hospital construction investment to formulate more standardized the hospital system, and also the hospital a more clean environment, improve the hardware construction of the hospital, strictly carry out the distance between the sickbed standard, equipped with hand washing facilities, and let every visit the sick people form the habit of washing hands, in more hospitals promotion physicians and surgeons separate ICU, reduce patient of between cross infection, to reduce the use of antibiotics provide better external environment.

        In addition, the relevant departments should fully understand the current hospital income and the close relationship between clinical medication, let doctors rely on their own knowledge to make money, and thereby decrease abuse of medical institution antimicrobial economics power. To this, the author thought, relevant departments should take out a strong man brokeback determination, otherwise, the problem of the delay, the longer accumulation of problems will more