Health newspaper: Managing and abusing antibiotic needs for strength in many waysing

Health newspaper: Managing and abusing antibiotic needs for strength in many waysing
Zheng ShanHai ( Doctor) The new census data reveal, the pre-capita consumption of antibiotic of our country is 10 times that of U.S.A., among them eighty-percent of the patients do not need to use. (" Guangming Daily " of October 19) Should say, it is not one day and two days that our country pays close attention to the question of antibiotic, issue some policy and regulation too during that time, issue one known as " in the history tightest " also will it be 14 this month Antibacterial medicine clinical management. In addition, oppose the work that the medicine clinical practice of fungus carries on the special renovation in an item of the whole country, also launch under the leadership of Ministry of Public Health. Believe under the supervision and management of the related departments, antibiotic of our country will get the effective containment to abuse the phenomenon. However, I thought, the antibacterial medicine of our country employed the proportion superelevation, it was the result that many kinds of factors acted on together, it is left together, may make success managed as soon as possible that it is only multicell. It is to manage the effective means to abuse antibiotic to manage strictly, but except supervise and manage, may need guide and support of more auxiliary measures, could control antibiotic to abuse the question that is upgrading constantly better. Give one example: Now, judge patient have bacterial infection, most frequently used laboratory it checks to be the intersection of blood and routine on being clinical, should say among them leucocyte count plus classify really to work, play very good guidance function while being clinical. However, as to old patient or some chronic patients that infected, not enough that perhaps there is sensitiveness, the false and negative problem appears. Compare, " it is plain and original to lower calcium " in a brand-new laboratory test Be well-above the blood routine in the sensitiveness of this respect, but a project at one's own expense at present. In fact, if the related departments can be while supervising antibiotic to employ strictly, similar to appropriately " It is plain and original to lower calcium " Judge the clinician like this " Infect " The new technology or new means of the state, will undoubtedly let the clinical work be a little more smooth. In addition Chinese medicine say " in healthy tendency deposit, can't be while being evil " ,For employing antibiotic, it is very important too how to improve the patient's general state, and improve healthy tendency, only through strengthening nutrition, should finish through the way that some immunity is strengthening pharmaceuticals. Meanwhile, " in lung and large intestine looks table " ,The patient that a lot of lung infected, the function of intestines and stomach is not good, so, ordinary nutrition is very difficult to support to meet the patient's organism's needs. If, the related departments can relax the restriction on the thing that this kind of patient's nutrition support to strengthen the respect with the immunity in right time, patient's general state has been improved, the application of antibiotic may drop to some extent too. A phenomenon is noteworthy: Relevant materials reveal, it is 5 days on day that the American patient is in hospital on average, but our country is up to 10 days. And will undoubtedly increase patient's infection rate to lengthen in hospital stays, this should be the important reason causing the antibiotic consumption of our country to increase. The question of meriting attention further is, the relevant management of the hospital of our country is very uncomplete at present, the mandatory regulation of distance among the sick beds, the visit of the patient relatives and friends is at will, the wards of a lot of hospitals look like the free market, there is ICU (ICU) of a lot of hospitals No one's job subject and surgery, cause a lot surgical patients who actually needed the aseptic environment, adjoint to with a patient of internal medicine department infected with all over tightly So, direct against such a question, the relevant department should also increase input in the construction aspect of the hospital, the system of making the more normal hospital and visiting, return a cleaner environment to the hospital, improve the hardware construction of the hospital, carry out the distance norm between the sick beds strictly, allocate and wash hand facilities, let every person visiting the patient get used to washing hands, popularize internal medicine department ICU separated from surgery in more hospitals, reduce the cross infection among patients, offer better external environment condition for reducing the use of antibiotic. In addition, the related departments should also fully realize the close relation between hospital income and clinical application at present, let the doctor earn money by one's own knowledge, so as to reduce the medical organization and abuse the motive force of economics against fungus medicine. As to this, I thought, the related departments should take out the resolution of hero's broken arm, otherwise, this question is delayed long, many questions of the accumulation be.

|