Half of antibiotic of our country is abused

Half of antibiotic of our country is abused
Half of antibiotic of our country is abused
" super bacterium " Threaten the mankind, guide people's sight into antibiotic and abuse the question again. 13 days, Center for Disease Prevention and Control of China points out the public carefully and uses antibiotic, use insisting to antibiotic that does not buy medicines at will, not select medicine by oneself, not take medicine, not stop medicine arbitrarily at will " Four no " Principle; On the 14th, Ministry of Public Health reaffirms this opinion again. Though remind and call upon constantly, is still an open secret that some hospitals and pharmacies abuse, make antibiotic excessively. National the intersection of food and medicines supervise administration bureau send the documents, require 2003 like give the green light to by the intersection of pharmacy and hospital, since July of 2004, all retailed the pharmacy and could sell prescribed medicine according to medical practitioner's prescription. But a lot of consumer's frequent oneself is at will " Evolution " Use antibiotic, can be bought to needn't write out a prescription in the pharmacy easily too, " medicine of the hall sits " making in some pharmacies Signboard,change violation into box rule. In some pharmacies, the consumers without prescription only need to record name and medicines name and buy medicines on the registry of the pharmacy. The reporter sees on the registry of a pharmacy of Shijingshan District of Beijing, nearly two months, have bought in this shop " The not west forest of A " " A is strange " With " oxygen sand star of promise " Wait for more than up to 60 people of the antibiotic medicine, accounts for all more than 80% of registration quantity. The reporter finds in the interview, abuse antibiotic and present in medical care links too. Though departments such as Ministry of Public Health,etc. have relevant regulations regarding clinical practice of antibacterial medicine, but still difficult in order to carry out to the letter in practice. "Half of antibiotic of our country is that statement some abused is not excessive. " Peking University the intersection of the People's Hospital and the intersection of respiratory medicine and chief physician, the intersection of institute and the intersection of antibiotic and Cao, member of board of trustee, take the dragon and say, especially it is comparatively general to use, bypass the immediate leadership to use the situation of potent antibiotic in the China-Super quantity of the surgery. The origin seller trends towards the favourable buyer and takes the post as the shop long Mr. Zhang of pharmacy branch of a chain of Beijing to point out blindly: "Pharmacy dare, ingore national prohibition, more to start from interests, drive. Because the antibiotic medicine profit is generally relatively high, the pharmacy is gladder to sell antibiotic medicines. If has totally standardized the prescribed medicine deal, antibiotic opened in pharmacy may be reduced by more than 80%, the pharmacy profit may reduce the amount of 20%! " There is Mr. Sun in three pharmacies in Harbin to reveal, except the market share than the big high brand antibiotic products, a lot of medium and small-scale antibiotic medicines manufacturers and agencies will often take and rebate pharmacy or return to the way to click and capture market. For example agree easy to sell one box medicines give pharmacy sales force how much proportion deduct a percentage, encourage the sales force of the pharmacy to sell and recommend one's own products to customer. Some doctors say, the reliance psychology to antibiotic of some patients is one of the reasons causing antibiotic to be abused too. Such a folk adage spreads in the medical circle: The patient has a partiality for " Three plain soup " ,Namely antibiotic, hormone, vitamin and having an intravenous drip. " the doctor abuses antibiotic to no doubt have " Objective " The reason, the pushing hands of some back can't be ignored still more. " Pharmacy dept. doctor Ding of hospital of a the first, second and third of Nanjing introduces, when every year reach medicines to call for bid, the pharmaceuticals will all be extremely active. Though the supervision that the society is behavioral to the commission of medicines is strict day by day in recent years, but can not stop up the doctor " Get commissions " Loophole,is it regular to sneak trade break all the time. Get rid of and bribe the cash, gives and consumes certificate and shopping card etc., and some stealthy commission, for example create travel chance, holding the academic meeting,etc. for the doctor. The supervision department rectifies the limited problem that exists of the result to market circulation of antibiotic at present, medicine supervises the clearance that the department launches and rectifies the result limitedly. Bureau of Drugs Supervision of Beijing checks and supervises Li JiangNing, vice section chief of place saying, they often check the pharmacy, but the prescription unable to hold to the pharmacy is verified; Inspection pharmacy on net can only find its entity to check; 2000 famous medicine of the whole city supervises enforcers and faces 200,000 units or individuals under inspection, supervision strength is insufficient seriously. Cao shows, a lot of hospitals have antibiotic management organizations now according to the dragon, the doctor will face punishing to abuse antibiotic, but often face the predicament while launching the work of investigating specifically. For example use and often adopt and survey sample to antibiotic, collect dozens of in thousands of cases, can't cover all questions; Some is even if suspected antibiotic uses the case that exceeds standard or bypasses the immediate leadership, may have no way of verifying because the patient has already left hospital. The expert says, the health care resources of our country at present, especially high-quality resources are limited, the contradiction of the difficulty and high cost of getting medical treatment of common people remains as before, the patient is too convenient to often go to hospitals to line up to see the doctor in order to pursue, but choose to go to the pharmacy to buy antibiotic medicines directly, this causes and buys the regulation of antibiotic and carries out the difficult important reason according to the prescription. The countermeasure is strengthened and punished punishment efforts academician of Chinese Academy of Engineering, Harbin medical university president Yang BaoFeng and said, " super bacterium " Production and antibiotic abuse to concern. Because antibiotic incorrect to use, able to bear medicine bacterium " escalate " constantly ,So standardize antibiotic to use in our country extremely urgently strictly. BaoFeng Yang think of our country antibiotic use and manage store in loophole, stipulate partly that has not carried out strictly. The abuse of antibiotic will obviously lead to the fact its service life is shortened, if this problem can not be solved all the time, our country may face not having usable dangerous situation of antibiotic in the future. The expert such as being auspicious of the Liu 's of public health institute of medical university in Harbin thinks, the present compensation mechanism of medical organization of our country is still imperfect, raise and cure the system drawback to remain as before with medicine. The hospital depends on the medicines income unduly, often open antibiotic medicines higher in price for the patient. Propose perfecting use of antibiotic and management system, strengthen medicines to supervise; Perfect the compensation mechanism of medical organization, cut off the interests chain of doctor and pharmacist, radically treat antibiotic and abuse the question from system; Strengthen the supervision of the terminal marketing channel, carry out the management systems of prescribed medicine and non-prescribed medicine strictly, devote more efforts to punishing. Li JiangNing proposes, according to the current regulation, the upper limit of selling prescribed medicine in violation of rules and regulations in the pharmacy is punished in order to fine 1000 yuan, amount is too low, it is not enough to manage violably and produce and frighten function on the pharmacy. Should improve the whole society to the understanding which uses antibiotic safely, the ones that further strengthened among every relevant regulation were connected, and improve the illegal cost of the illegal trade company through devoting more efforts to punishing, build security, social environment of using medicine rationally.


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