Sunday, April 29, 2012

Lower shelf of next month of nearly half antibiotic of Jinan hospital

Lower shelf of next month of nearly half antibiotic of Jinan hospital
Lower shelf of next month of nearly half antibiotic of Jinan hospital
The Times is reported on June 16 (reporter Susan) Prevent antimicrobial from abusing and already becoming task of top priority. A few days ago, it was " tightest in the history " that it was known as that Ministry of Public Health issued Hospital antibacterial for medicine management,it is want to cut down in a large amount hospital medicines antibacterials above- second -class from July 1 not to stipulate. " great limit " At present, the reporter knows today, antibiotic is " moving the knife " correctly in most hospitals of Jinan ,Nearly half the intersection of antibiotic and quilt " Chase " Go out of the hospital. A few days ago, Ministry of Public Health issued " antibacterial medicine clinical practice special renovation activity scheme in the whole country of 2011 years ", stipulate from July 1, the antibacterial medicine variety of the tertiary hospital should be compressed to 50 kinds, second hospital is a little less, only 35 kinds. Except the reduction of the variety quantity, there is the restriction too in using medicine the intensity, are in hospital patient's antibacterial medicine rate of utilization does not exceed 60%, the clinic can't exceed 20%. The reporter interviews many hospitals of Jinan to learn, to the combing of the antibacterial medicine held through earlier stage on the 16th, the present antibacterial medicine variety of the hospital has exceeded 50 kinds. "Our hospital has about 80 kinds antibacterial medicines at present, through the medicine thing of the hospital and selection of the medicine therapeutics committee, before June 30, we certain to cut down, get require variety within the quantity antibacterial medicine, nearly half antimicrobial will disappear from medicine shelf of the hospital. No matter what the difficulty is, the speed is certainly very fast. " The fourth pharmacy dept. clinical pharmacist Li Na of the People's Hospital in Jinan introduces, except that the antimicrobial variety " exceeds standard " Outside, patient's antibacterial medicine rate of utilization is in 60%- 70% at present that this institute is in hospital, clinic patient's antibacterial medicine rate of utilization is more in 20%. "Which antibacterial medicines are ' out ' when the time comes, Ministry of Public Health gives the right to choose to the hospital, antimicrobial left among each hospital is different, mainly making according to relevant factors such as security of medicines, curative effect, cost performance and national basic medicine. " Na Li say generally speaking, 50 antimicrobial to enough. But if does not feel enough through the clinical practice, can start and purchase the procedure temporarily, apply to hospital for, can be bought more after getting the approval. Besides cutting down the antimicrobial variety by a wide margin, every hospital has made strict antibiotic and used management according to the regulation of Ministry of Public Health too. Jinan city fourth the People's Hospital opposes the medicine of the medicine consumption the first ten of fungus per month, and the prescription doctor using the most the antimicrobial carries on announcement. If the prescription doctor prescribes antimicrobial in the forefront in many months continuously, the hospital will talk with him; The hospital of Shandong will announce regularly antibacterial medicine clinical practice situation and bacterium of the hospital are able to bear medicines and monitor the situation, set up the antibacterial medicine clinical practice notification of the hospital and warn and strive and talk the system, investigate and prosecute the unreasonable operating position of antibacterial medicine strictly. Have hospital person in charge to say tertiary hospital keep 50 antimicrobial, let doctor write a prescription the choice is still very large, whether could contain the abuse against fungus medicine, it still remains to be seen to reduce patient's burden. But the antibacterial medicine stipulated in the scheme uses the catalogue in grades and if can be carried out strictly, to containing and abusing and playing acting on greatly. In addition because antibiotic kept this time includes each high, middle and low grade, so the patient is not very large in the cost change on of using antibiotic to treat.


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