80% of the cold patients demand to prescribe antimicrobial

80% of the cold patients demand to prescribe antimicrobial
"The person getting on in years has a feeling, 20 years ago if amygdaline inflammation, had one injection penicillin will be bettered; But have one injection now penicillin, disease may not necessarily be fine, this is because the bacterium in the body has already been able to bear medicines. " In World Hygiene Day of yesterday Shanghai " Use the antibacterial medicine rationally " At the educational activities unveiling ceremony of the health, Vice Mayor Shen XiaoMing relies on an ocular example, reveal the doubts and suspicions in the minds of the people of a great deal of cities of the seat: "Why resist antibiotic? "

A great deal of queries that the city is in the hearts of the people, the ones that have shown to antibiotic topic are strange. 18 counties, 3218 citizens use medicine rationally the knowledge investigation reveals to the whole city in the relevant department in 2011: 90% of the citizens will use the antibiotic medicine rationally if 90% of the citizens do not understand. The reporter knew yesterday, the norm used antibiotic to already become key work of this Municipal Health Bureau, new medical reform scheme of this year from unveiling ceremony. In " back antibiotic era " ,Besides needing to strengthen masses' popular science, need medical organization, market of medicines, medicine to supervise the department etc. and cooperate in coordination.

Medical personnel can't help and push away " Abuse " Medicine

To " antibiotic era " Definition,it is medical for field it have pieces of a vivid one statement: If the era before inventing penicillin is that the mankind is at a loss what to do to the bacterial infection " The previous antibiotic era " ,Then after spending brilliant antibiotic era, the mankind entered and is able to bear the medicine fungus to infect and wreak havoc, not so usable as effective antibiotic soon " And then antibiotic era " . Deal with this thorny problem, should begin from the medical worker first.

Can be in today's Shanghai, the medical worker seems not to play a corresponding role. A medicine prescription statistical data of Shanghai some third grade first rate hospital reveal, the antibacterial medicine prescription adds up to 5169, take all medicines prescriptions 16.44%, " question prescription " among them ,Or say that " abuses, unreasonable and uses antibiotic " Prescription 724 pieces,ones that account for prescription total number 2.3%. In addition, according to statistics of the relevant department, the employing rate of antibacterial medicine of second hospital is higher than the tertiary hospital.

"In clinic, to the patient without bacterial infection evidence, hospital personnel will still use antibiotic according to the experience. " Ju JieMing, Deputy Bureau Director of Municipal Health Bureau, points out, must strengthen the medical worker norm of using medicine.

Medicines technological director Dr. Du WenMin of monitoring center of bad reaction in Shanghai say, also some doctors have insufficient understanding of medicine supersession mechanism in clinic, for example will use together a spore thiazole quinoline and gentamicin, so that increase bad reaction situations such as kidney toxicity,etc.; Invalid compatibility using penicillin sodium to add ammonia benzyl penicillin sodium. So, should set up retraining and examination mechanism in the medical unit and let the doctor pay attention to aetiology and check, improve and take the place of dynamics,etc. to medicine, the norm is given medicine quantity,etc..

In addition, some medical organizations are driven by the economic benefits, encourage using the high price medicine; The specific medical worker takes situations such as commission,etc., will help and push the abuse of antibiotic too. As to this, should strengthen supervision.

Many departments of the need cooperate in coordination to solve the problem

However, only is it enough to depend on medical workers? The latest investigation reveals at home, 80% of the cold patients will ask for the antibacterial medicine from doctor, but numerous colds are caused by virus in the world; 70% the intersection of disease and people provide antibiotic for oneself in the house, say once cold go, seek medical advice, but go ahead of the rest oneself take antibiotic. However, antibiotic is prescribed medicine, need taking under the guidance of doctor.

Family likes storing antibiotic Shanghai people, but this measure has strengthened the abuse of antibiotic exactly. Often will point out insufficient consumption family personal antibiotic by doctor, see symptom take a favorable turn by oneself medicines parking - -This is exactly a reason initiating antibiotic to be able to bear nature: Because decrement reduces the course of treatment will make the medicine unable to reach the valid density in the body, sterilize the result and give a great discount, will probably delay the condition, cause the condition and recur, delay and will not heal, the bacterium is prone to and able to bear nature.

People find, retail pharmacy remain as before prescription at will, grasp tight or yield to the writing a prescription and requiring etc. of the patient by indication now. The expert says, should produce the operation pharmacist's guidance function of using medicine in the dispensary, continue controlling and retailing antibiotic.

The intersection of medical college and first king fly to professor seem in Shanghai Communications University, norm it uses antibiotic to be to able to bear the intersection of nature and issue for deal with not merely, protect health,etc., more important meaning is, it can avoid the waste of limited medical resources - -Able to bear the appearance of nature, will lead to the fact the patient falls ill cycle lengthens, uses medicine the cost is raised, it was patient, medical insurance public fund pool, and whole medical resource that was consumed.

It is reported, in the scheme of the new medical reform of Shanghai, deals with antibiotic to already classify as the important content. But should really reply " And then antibiotic era " ,Common participation of a plurality of links that not only need medicine, medicine, popular science to be multicell and leave together and need agricultural management, peasant household to cultivate,etc..

Staff reporter Tang WenJia



80% of the cold patients demand to prescribe antimicrobial