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Inject, profess to convinced, external use antibiotic, large quantities of doctors are restricted prescription
Recently, omit the information that date of medical alliance public publishs according to Jiangsu, city of level of Jiangsu province ground large quantities of assisting be restricted with medicine. Circulate in Zhenjiang city " base owner of the antibacterial inside medical catalog treats a title not to have prescription authority breed with next personnel " in show, include fluid of inject of element of A Ji mildew, hydrochloric acid He Lifu of fluid of inject of sodium chloride of Luo Meisha star makes the same score capsule to wait for 18 inside to taste the antibacterial content of compasses, advocate treat the doctor under the title to cannot open prescription.
The doctor's title includes primary title (doctor of practitioner with secondary medical school education, doctor, be in hospital) , intermediate title (advocate order a physician) , deputy advanced title (vice director doctor) , advanced title (chairman doctor) .
This is meant, large quantities of doctors that are in primary title, taste the medicines and chemical reagents of compasses to these 18, lost the power that opens prescription.
Meanwhile, list is here medium, include fluid of inject of element of A Ji mildew, hydrochloric acid fluid of inject of sodium chloride of Luo Meisha star and inject use natrium of oxime of head Bao Sai to wait for injection, also include rifampin capsule, oxime of head Bao gram is dispersive piece with hydrochloric acid Luo Meisha star disperses piece wait for profess to convinced to use antibiotic, in the meantime, also have ketone health Zun breast creams this kind external use medicine.
This antagonism gives birth to the limitation of element, expand in the round, give priority to by original infusion, enlarge the limitation that tastes to the antibacterial such as profess to convinced, external use.
The country reachs a place, more limitation uses antibiotic
In fact, be restricted to fight make fail to go all the time.
According to statistic, our country is antibiotic the biggest country, antibacterial is our country the biggest with medicine, the dosage of use antibiotic of average per capita is the United States is close decuple. Among them children makes dosage older. The data shows, 88% what antibiotic held children to use medical market with medical scale.
Accordingly, this year in May, national Wei Jian appoint give out again " had done antibacterial thing about lasting the announcement that clinical application supervises concerned work " , emphasize clinical applying strengthening antibacterial content further management, key canal accuses children antibiotic abuse. Announcement requirement, strengthen children antibacterial clinical application runs thing. Research builds those who be aimed at children to monitor a system, the hospital of children specialized subject that increases accept to enter the range that monitor or polyclinic are paediatrics the amount of ill area.
In April, national Wei Jian appoint release " point of system of core of safety of medical treatment quality " , mention antibacterial content to manage by different levels among them system.
Be able to bear or endure according to the security of antibacterial content, curative effect, bacterium the element such as property of a medicine and price, antibacterial content cent uses class, limitation to be not limitation class and special use class 3 class.
Face antibiotic to be restricted in the round besides national layer, much ground also dispatch, arrive from policy carry out, strengthen antibacterial content clinical application management.
In December 2017, supervisory place of Beijing sanitation and family planning is released " punishment of Beijing sanitation supervisory administration is public show " , among them because limited company of Beijing home round hospital is disobeyed " antibacterial content is clinical applied government measure " fiftieth (one) relevant provision, by warning, amerce 10000 yuan.
Not come singly but in pairs, government-owned net shows Sichuan the Chengdu City, its Ceng Yin " do sth without authorization uses antibacterial content to begin vein to be defeated concentrate an activity " , punished 6 clinic.
In July 2017, the most severe limitation of antibacterial content makes, apply in Shandong -- Shandong province defended a committee of planning to release " about strengthening antibacterial content bacterium of keep within limits of clinical application government is able to bear or endure the announcement that medicine works " , made " Shandong saves antibacterial content clinical application manages by different levels catalog (2017 edition) " , will run antibacterial thing strictly clinical application, to various medical establishment purchase and use amount and breed made detailed provision.
On July 1, 2016, jiangsu saves outpatient service of hospital of 2 class above to already stopped antibiotic infusion in the round, large hospital already did not leave to give antibiotic infusion in the computer of outpatient service doctor, the patient hits an a bit to must go emergency call. This action arrange results from low 2015 " transmit the announcement that about strengthening antibacterial content further job of clinical application management informs " .
Limitative limits no longer basic level of bureau be confined to, guangdong is saved also dispatch, in complete province public hospital stops 2 class above stage by stage vein of outpatient service patient is defeated fix antibacterial thing.
Look to the superintendency sequence of thought of antibiotic down the country, of antagonism bacterium medicaments use in ceaseless crimple: Limitative limits expands from basic level hospital of 2 class above, the limitation of way giving drug expands from inject fluid profess to convinced, external use. Of medicaments of national antagonism bacterium answer policy, also conform to the principle of simplicity odd " limitation " , " prohibit " , to promote each medical establishment to build relatively perfect management system, testing system.
Besides antibiotic, these medicaments of Jiangsu also large quantities of sufferring be restricted
Not just antibacterial content, to assisting with medicine character, its vivosphere also is in be compressed further.
Recently, nanjing city defends a committee of planning to release " assist a gender about adjusting medical establishment nutritional the announcement that waits for key of medicines and chemical reagents to superintend catalog " , medicines and chemical reagents of farther aggrandizement medical establishment is purchased use superintend, promote clinical and reasonable use. A few clinical use amount is large, sale is assisted high with medicine, will be restricted.
Arrange according to Jiangsu medicine alliance now, more assisting was restricted with medicine.
The Huaihe River brings city 2, 3 class hospital assists kind of medicine and nutrition kind catalog of breed of monitoring of medicines and chemical reagents
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