Renovate and abuse the antibacterial medicine seriously in Yunnan

Renovate and abuse the antibacterial medicine seriously in Yunnan
It is reported ' Reporter Lu Dong) The antibacterial medicine once saved the life of countless patients, employed one of the most extensive medicines, but abusing the antibacterial medicine will cause bacteria to be able to bear medicines, so not merely increase the patient's medical all-inclusive cost in hospital, will also raise the patient's case fatality rate. Recently, the department of public health of Yunnan Province issued " antibacterial medicine clinical practice special renovation activity implementing scheme in Yunnan Province of 2011 years ", open it once of the prescription right against fungus medicine for the doctor " Lock " . In the future, doctors should have a right against fungus medicine of a prescription after it is qualified to examine in and vocational training, if the antibacterial medicine of unreasonable application, health authorities can revoke doctor's practicing qualification. The hospital makes up a prescription in the division to instruct the patient this time the range of the special renovation is all types of medical organization of the whole province in administration, the focal point is second public hospital of the above. Stipulate clearly in " scheme ", the person in charge of all types of medical organization is the first person liable of clinical rational application of antibacterial medicine. The above- second -class hospital should set up the antibacterial medicine to regard person in charge of medical organization as the group leader to manage the work group with the medicine therapeutics committee in the thing management of medicine, the work group wants face-off fungus medicine prescriptions, doctor's order to comment on specially per month. " scheme " is required, the health authorities and medical organizations at all levels should regard clinical rational application situation of antibacterial medicine as the medical organization, examine and promote, comment the important index that appraises and chooses excellent first in the person in charge of medical organization, comprehensive goal of person in charge of department, clinician, as the important content which the doctor examines regularly. The medical matters administrative department of medical organization should train and examine all medical workers of this organization on antibacterial medicine relevant professional knowledge and standardized management at least once every year. The above- second -class medical organization should allocate a clinical pharmacist at least, instruct the patient how to use the antibacterial medicine rationally. The conditional hospital should combine the relevant requirement of clinical practice management of antibacterial medicine, combine together with electronic case history, management information system of the hospital, clinical route management, make great efforts to realize the antibacterial medicine monitors the automation, informationization. It is qualified to just have a prescription right " scheme " to require that must define the doctors at all levels use the prescription authority against fungus medicine in all types of medical organization that the doctor examines. Medical practitioner and pharmacist must be after it is qualified to train and examine in the clinical practice of antibacterial medicine, could be awarded the antibacterial medicine prescription right of the corresponding rank or adjusted the qualification, forbid ultra prescription right and violate the procedure to use the antibacterial medicine. Meanwhile, " the scheme " clear, with medical practitioner's qualification doctor can open, restrain from and use the antibacterial medicine prescription while being non- according to diagnosis and the intersection of patient and condition; After have the above-mentioned attending physician's professional technique post qualifications or is checked and signed by the doctor with post qualifications of the professional technique above the attending physician, can open and exercise restraint in using the antibacterial medicine prescription; It uses grades of antibacterial medicines to be must manage person that work group assert, hold a consultation by antibacterial medicine and sign and agree, specially, and then open by the doctor with advanced professional technique post qualifications. While preventing from infecting, treating the patient that the part infects slightly, doctor should select for use, limit, use magnitudes of antibacterial medicine while being non- at first; Infected with seriously, the immunological function is low amalgamates infecting or pathogens only when being sensitive to exercising restraint in using one grade of antibacterial medicines, can select for use and exercise restraint in using one grade of antibacterial medicines; Under the emergency, doctors can bypass the immediate leadership and use the antibacterial medicine, but the prescription amount should be limited consumption for one day; Doctor can't open and use one grade of antibacterial medicine prescriptions the clinic specially; The outpatient pharmacy/Outpatient dispensary can't allocate and use one grade of antibacterial medicines specially. Clinic patient's prescription proportion can't exceed 20% of " schemes " to define the antibacterial medicine range of this special renovation is limited to treating bacteria, the antibacterial medicines of due to pathogenic microbe infective diseases such as the original body of mycoplasma, clothing, setting up body of each, spirillum, fungi,etc., exclude various viral disease and therapeutic medicine of parasitic disease, and is used in the skin, soft tissue, holes of the intersection of ear, nose and throat and whom part that position,etc. infect use resist infection medicine and antimicrobial including plant composition, resist tuberculosis medicine in renovating the range either. " scheme " controls the antibacterial medicine to purchase the rule quantity of the articles strictly. The antibacterial medicine variety of tertiary hospital does not exceed 50 kinds in principle, second hospital antibacterial medicine variety does not exceed 35 kinds in principle. Because infect a patient and treat the demand specially, the medical organization needs to use this organization to purchase the antibacterial medicine beyond the catalogue, can start and purchase the procedure temporarily, but the amount of purchase only restricts a patient and a course of treatment each time. For use the intensity to control in the reasonable range antibacterial the intersection of medicine and rate of utilization, " scheme " requires the medical organization to be in hospital per month patient's antibacterial medicine rate of utilization does not exceed 60%, the prescription proportion of antibacterial medicine of clinic patient does not exceed 20%. The department of public health of the province will set up antibacterial medicine clinical practice monitoring net and bacterium and is able to bear the medicine monitoring net, except the monitoring net interconnection with the whole country, will also announce regularly that monitors the situation. Write out a prescription and cancel prescription right for abusing the doctor against fungus medicine above average 2 times continuously, have punished the system severely clearly in " scheme ". Antibacterial medicine it manages work groups to be can to present antibacterial medicine write out a prescription 3 or more times above average and doctor to have reasonable ground warn, and limit it and use the prescription right of one grade of antibacterial medicines for half a year at least specially; After limiting prescription right, still write out a prescription and not have reasonable ground above average 2 or more times continuously, cancel its prescription right of antibacterial medicine; Verify antibacterial medicine prescription and doctor's order not according to the regulation 3 or more times continuously, or find that does not suitable for, writes out a prescription and has not intervened and not had reasonable ground above average in prescription, cancel its antibacterial medicine and adjust the qualification for half a year at least. As to the doctor against fungus medicine of unreasonable application, health authorities or medical organizations will look at the situation to warn in accordance with the rule in accordance with the law, rectify and improve, suspend prescription right, cancel prescription right, demote using, revoke " doctor's practising certificate " etc. to deal with within a definite time period; If the case constitutes a crime, criminal responsibilities shall be affixed in accordance with the law; The problem is serious, will investigate the relevant responsibility of the person in charge of medical organization.

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