Abuse antibiotic and expedite child delivery " Able to bear the medicine clan collectively " Help medicine is turned into fatal medicine
Abuse antibiotic and expedite child delivery " Able to bear the medicine clan collectively " Help medicine is turned into fatal medicine
July 24, Peking Union Medical College Hospital, 300 doctors of hospitals of more than 50 of the first, second and third such as colleague's hospital,etc. have participated in " clinical rational application of antibacterial medicine is trained " sponsored by Ministry of Public Health, Beijing Municipal Health Bureau ,Aim at preventing the bacterium from being able to bear the threat of medicine effectively. At present, our country's consumption, sales volume are arranged in medicines of the top 15, 10 kinds are antibiotic - -Antibiotic and formate against fungus medicine invention, it employs to be medical the intersection of field and great achievement most one of, but the bacterium is able to bear the medicine phenomenon and become the fact that can't be ignored either. In our country, the reliance even reaching the intensity abused on antibiotic of a lot of time. " super bacterium " Increase new medicine develop, happen, able to bear the intersection of medicine and fungus, breed in the normal human body there are a lot of that are grown fungus grouping, the unreasonable application of antibiotic especially wide table antibiotic, has broken its equilibrium. Every kind of antibiotic comes into operation, the bacterium not killed will produce the antibody to this antibiotic rapidly, become able to bear the medicine fungus. 20 years ago, when sand star began to employ the antimicrobial ring third on clinic, the side effect is small, treated effectually, but the sand star of ring third of now is ineffective to the patient above 60; In World War II, dozens of to 100 units of penicillin can contribute, the same condition now, several million units of penicillin comes to naught too. The statistics show, our country have 8 people Wan die of and abuse antibiotic directly, indirectly every year. Of our country under the age of 7 children because of unreasonable to use antibiotic cause deaf quantity reach 30 Wan, to 40 overall deaf and dump children's 30, and some developed countries are 0. 9 % . In the infection disease patient in hospital, it is 11 to be able to bear the case fatality rate that the medicine mushroom infects. 7, the ordinary case fatality rate that infects has 5 only. 4 % . These figures make China become and abuse one of the most serious countries of antibiotic problem in the world. It probably takes 10 years to develop a piece of antibiotic, but it is able to bear the medicine fungus plainly within 2 years to emerge, the reseach speed of antibiotic can not far catch up with the reproduction speed able to bear the medicine fungus. A lot of big drugmakers are unwilling to bury more singly, its reason is except that after antibiotic is developed to certain extent, it is higher and higher to redevelop the research and development expenses that the new variety needs, the one that the more important thing is fast fails to make the enormous input of the pharmaceuticals unable to produce. China present nearly has the one that resists ability on all antibiotic nowadays " The super bacterium " The list is longer and longer, they have already become the important pathogens infected in the hospital. Penetrating as the bacillus of green suppuration can change cell membrane, prevent the entry of the penicillin medicine; The tubercle bacillus prevents antibiotic instead of combining through changing the internal protein structure; What is more, some leather is blue the negative fungus can be hit out voluntarily, hydrolyze penicillin and very beginning spore's fungus plain type medicine with hydrolase. This kind able to bear nature, can obtain other bacterium while being horizontal, can longitudinal heredity give offspring too. A lot of such phenomena appear on clinic: Cause infecting because of able to bear the medicine fungusing, antibiotic is unable to control, cause patient death finally. Regarded as " omnipotent medicine " The cold patient has 75 to employ antibiotic A word like this prevails in the medical circle: It is easy to buy rifles in U.S.A., it is very difficult to buy antibiotic. U.S.A. is very strict when opposing the fungus medicine and controlling, examine the doctor's antimicrobial knowledge regularly, the persons who fail will stop the right of its prescription. And China is just opposite. Rate of utilization is 30 in the antibiotic courtyard which World Health Organization recommends, the rate of utilization of the American-European developed country is only 2 2 % - 2 5 % , But the patient's antibiotic rate of utilization is up to 80 in hospital in our country. Wide the intersection of table and antibiotic and jointly use account for 58 among them, and more than half is shared for many kinds of antibiotic, the preventative administration accounts for 1 / 3 that antibiotic used, the postoperative preventative administration is up to 93. 4, the cold patient of the clinic nearly has 75 to employ antibiotic, the surgery is up to 95. According to the investigation, the patient of China who really needs to use antibiotic is less than 2 0 % , 8 0 % The above abuses antibiotic. All overtime, ultra quantity, using to the ill or not strict norm use antibiotic, all antibiotic is abused. Have doctor's administration that is used to the question among them, also there is reason why medical knowledge popularizes incompletely. Some doctors and patient superstition antibiotic, regard it as omnipotent medicine. Even a lot of patients think, are included and treated with antibiotic. Chief physician of BJ Union Hospital infectious disease department Feng XiaoJun says, in fact in American-European countries, even if you have a fever to 39 ��, doctors will not use antibiotic easily either. This has something to do with the scientific level of understanding of antibiotic with doctor, patient. Undeniable, it is an important reason too that the economic benefits are driven. The profit space of antibiotic is large, produce, sell enterprises from medicine to the hospital, doctor, the enormous interests chain exists behind antibiotic phenomenon to abuse. Avoid abusing You had better be clear to lose antibiotic in the small medical kit Not only antibiotic of abuse is " Someone take medicine and who have an injection and who injure" Question. Even if oneself and family all try hard to avoid using antibiotic, the victim that can't guarantee not to abuse as antibiotic either. Diagnose, able to bear medicine mechanism and molecule epidemiology for the pathogen laboratory in main research direction of Deputy Director of BJ Union Hospital clinical laboratory Xu YingChun, he says, abusing antibiotic has already become the public health problem. At present, it is very general to use the antibiotic phenomenon in our country's agriculture, feeding, air of grain, vegetables, meat, dairy products and even hospital which we eat, full of antibiotic and able to bear the medicine fungus. These are able to bear medicine fungus through the diet, breathe and enter our body, once the bacterial infection take place to people, even the person who has never used the antibiotic medicine, may face the situation of the antibiotic treatment at a loss what to do too. Chief physician of BJ Union Hospital infectious disease department Feng XiaoJun says, should stop the abuse of antibiotic fundamentally, need to regard doctor as the core, mobilize the strength of the various circles of society to participate in under the circumstances that the government guide, let every ordinary people know how greatly to abuse the danger of antibiotic. A lot of doctors just use medicine according to the experience now. The expert proposes, set up microorganism's inspection center in Dongcheng, Xicheng of Beijing, let the doctor know the amount of every function, bad reaction and Japan's dosage against fungus medicine, guide doctor's clinical application. Feng XiaoJun say, his antibiotic clinic prescription quantity, 20 of the less than all patients administration. A lot of people have pieces of habit, getting ill to act on one's own, take medicine first, family there are much antibiotic in the little medical kit anyway. Expert call upon, expensive even better antibiotic exist, endanger too, with very apt to cause the intersection of body and the intersection of fungus and group lose at will, had better all clear up antibiotic in the small medical kit of the family; If must take antibiotic, must follow the doctor's advice to take according to quantity on time, don't feel a little better Does not eat, in case that the health is produced and able to bear nature, result in not having medicining that can be cured finally. (Duan Wen like) 3 great bad reactions of antimicrobial Toxicity reflects the kidney: The intersection of amino sugar and glucoside, stick more the intersection of fungus and plain kind, the intersection of tetracycline and kind, mould plain, sulfa drug,etc. can cause at various degrees kidney damage through the ages. Liver: Erythromycin, sulfanilamide, rifampin, chloromycetin,etc. can cause the liver to damage. The gastrointestinal tract: All kinds of antibacterial medicine, especially person who gives medicine of oral administration can be stimulated function to cause by medicine disgustingly and vomiting, suffering from abdominal pain, suffering from diarrhoea etc. and react. The spiritual system of nerve: Penicillin can be produced and stimulate the cerebral cortex directly, one burst of contractions of skin, fainting from fear, epilepsy, going into a coma,etc. appear; Streptomycin, kanamycin,etc. can damage the eighth pair of cranial nerve, cause the hearing or vestibule function to damage; Spiritual symptom of can cause illusion, phonism, directional strength to lose sometimesing etc. that chloromycetin, Procaine is mould to usually wait. Hematopoietic system: Chloromycetin, sulfanilamide, the intersection of very beginning and the intersection of spore and the intersection of fungus and plain kind might cause anaemia, regenerated obstacle anaemia. Cardiovascular system: Early newborn baby, neonate can produce circulatory failure around while accepting heavy dose of chloromycetin; It can cause fainting, blood pressure to drop etc. that it is dripped that very mould and plain and quiet in heavy dose of forest. The anaphylactic shock of allergic response: Penicillin due to person most common, Streptomycin due to see very beginning the intersection of spore and the intersection of fungus and plain kind, erythromycin,etc. also can cause while being even more too. Drug rash and medicine are hot: See more that uses penicillin, Streptomycin, sulfa drug,etc., the medicine is hot can appear with drug rash at the same time, can also happen alone. Photosensitive response: Rash appears on the exposed position while taking medicine, the tetracycline ~s and some quinoline promise ketone are more seen, the serious one can present red swelling of skin, blister,etc.. One kind of responses of blood vessel nerve edema, serum sickness: Mostly caused by penicillin. Dual to infect this in order to employ the new infection that appears in the antibacterial medicine, more see in employing the patients against fungus medicine of wide table for a long time. Wide the intersection of table and antibacterial medicine can inhibit sensitive growth of fungus in the human body, result in being able to bear medicine funguses to breed in a large amount, become the advantage fungus, send disease, major operation,etc. originally to make the organism immunological function damage such as various at this moment, the advantage fungus can cause digestive tract, lung, urine way, blood flow,etc. to infect, and treat the difficulty, the case fatality rate is relatively high.
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