July 1 of the execution of the clinical application of antimicrobial drugs management method "regulation, level 3 hospital antimicrobial agents shall not be more than 50, 2 class hospital may not exceed 35. Antibiotics can improve? In this abuse Many experts said not optimistic.

    Healthday: antibiotics deposit interest chain behind abuse

    The resultant force. The parties to supervision

   YanGui under whose abuse

    The results show that the clinic in anhui province has a cold about 75% use of antibiotics, surgery, perioperative antibiotics YingYongLv as high as 95%, hospital patients YingYongLv antibiotics for 79%, this number is far higher than the world average of 30%.

     According to the state food and drug supervision bureau for, since July 2004, all retail pharmacy by practicing doctors shall be prescribed to sales of prescription drugs. 6 August, the author random interviews of hefei found the drugstore, was largely invisible provisions, in almost all enterprise without a prescription to produce all kinds of antibiotic drugs that we say normally "antibiotics". In qianshan road "people the reason" the large pharmacy, listen to the author says sore throat want to buy expectorant, staff directly from a medicine cupboard took a box of azithromycin, recommend to say this effect is good, the buying process, did not ask if they have the prescription. In fuyang road for the people, such as the pharmacy without a prescription of consumers can only have to register names and drug name can buy medicine. And in some of the enterprise, the businessman also comes with "sitting on the judgment seat, medical" violations seem to be reasonable. As in "sea stars" bear road drugstore, a purported "doctor" for the author and he who had a sore throat open azithromycin "prescription."

    Abuse phenomenon also appears in medical service links. "For hospital clinical use of antimicrobial agents, the country has the strict regulation, but in reality is not strictly abide by all the hospital can." A 3 armour hospital, said an expert with the individual doctors are not clearly in the diagnosis of when the first with "say" the idea, also virtually influences the patient, at present, the patient himself to buy antibiotics phenomenon also is common.

    "The existing under the doctor-patient relationship, patients often to whether good or bad evaluation doctors quickly let themselves from sickness, and makes the standard for the doctor to antibiotics, after all, this kind of medicine rely on in a short time the effect is better."

    Anhui medical university YiFuYuan director of pharmacy department XuDuJuan had special investigation, the result indicated that the clinic in anhui province has a cold about 75% use of antibiotics; Surgical perioperative antibiotics YingYongLv as high as 95%; Hospitalized patients YingYongLv antibiotics for 79%, this number is far higher than the world average of 30%. In addition, antibiotics don't reasonable use also increase the incidence of adverse reactions in hospital and fee, China's 200000 people die each year because of adverse drug reactions, including antibiotic caused by excessive use of 40%. According to the anhui province 2010 bacteria resistance monitoring result, of three kinds of and above the drug resistance bacteria are increases year by year.

    Deposit interest chain. Behind abuse

    Antibiotics higher profits, pharmacy, the doctor's favour to sales; Illegal low cost, to deal with the enterprise not enough to produce shock.

    Improper use of antibiotics is not only to patients buried the body hidden trouble, but lead to medical treatment cost empty tall. Since the country for three five times ban it, why pharmacies, illegal sales of prescription drugs, hospital or even become the abuse of antibiotics ChongZaiHu? Interview results show that QuLiXing is still a major reason.

    Had a pharmaceutical production enterprise sales representative of Mr. Li pointed out: "enterprise dare to buy national ban unattended, more is of interest because of higher profit driven antibiotics., so a pharmacy that these drugs are more comfortable sales. If fully standard for prescription drugs sold, pharmacy buying and selling antibiotics will reduce 80% above, enterprise profits will be reduced to 20%! Besides, antibiotic drug manufacturers and agency also will take to the drugstore commission or return point of ways to market."

    In addition, low cost is also illegal one big reason. According to the current regulation, if the enterprise illegal prescription drugs for its fine, sales amount the upper limit of also is 1000 yuan only, "low limit of fines and highly profitable space, not to deal with the enterprise produce deterrent effect." The drug agency says, although have been through the inspection, such as the way to solve the problem, but the national universal for regulatory power shortage, the effect is limited.

    According to another already engaged in pharmaceutical industry nearly 20 years of enterprise controller introduces, the doctor's receiving kickbacks to dive the rule, at present in many hospitals still more common, and sold to the hospital in various medicines, the highest commissions should count antibiotic drugs, "general drug kickbacks more for 10% ~ 15%, and the antibiotics is as high as 20% ~ 30% can." A 3 armour hospital doctors is that "in the hospital with a medical system, medicine, doctor of course still exist disadvantages tend to give the patient a higher price of antibiotic drugs issue."

    The resultant force. The parties to supervision

    Special the campaign of punishment, and to increase the rational use of antimicrobial drugs doctors, the serious case will lose the practicing certificate.

    Relevant departments to anhui provincial health office, officials say, the overuse of antibiotics, both to keep medical mechanism of medicine, rational drug use management system and regulatory capacity, medical personnel rational drug use level and ability of the public, and the problem of rational drug use consciousness.

    In the national unified plans in anhui province, the second class above to public hospital as the key point, has set up a file in the end of may start throughout the province medical institutions antibacterial drugs clinical application of the campaign, the special, and required the medical institutions to strictly control the use of antibacterial agents product quantity and utilization rate regulation. The campaign, made clear the antimicrobial clinical application management responsibility system, and also increased of punishment, and for the rational use of antimicrobial drugs doctors, the serious case will lose its practice certificate will constitute a crime shall be investigated for criminal responsibility.

    According to understand, for scientific and reasonable use of antibiotics, anhui province in February 2004 in the earlier established the "bacteria resistance monitoring center", the home of 41 at various levels and the monitoring network hospitals involved in resistance monitoring work in seven years, the center altogether collected more than 10000 strains of all kinds of infections caused by clinical strain. The center LiGuBin expert professor called on: "as a patient, should be in strict accordance with the doctor to use antibiotics. As a doctor, diagnostic basis should be scientific and medical treatment; should improve the clinical specimens inspection consciousness, and strictly control the antibiotic use at will high-grade." In addition, he thought that the antibiotic "through" is a kind of good method, respectively for more than 50% of the antibiotics, temporarily out of service, the Suggestions by way of medicine "in turn", let these already "tired" medicine "rehabilitate", and a few years later the drugs might "back", "management antibiotics abuse is a comprehensive engineering, needs the government, the doctors, the joint efforts of the masses". (WangHuiHui)