Our country abuses the most serious country as antibiotic The expert proposes the legislative norm
Our country abuses the most serious country as antibiotic The expert proposes the legislative norm
The villagers in Yongning county of Ningxia love the people for living oldly near antibiotic raw materials factory, he was once polluted by the pharmaceutical factory reflecting to the government many times for the groundwater. Staff reporter Huang YuHao takes the photograph The core is pointed out for October 26, two infants in Ningxia are detected super bacterium NDM-1, it can resist the antibacterial medicine of overwhelming majority. The expert says, the super appearance which is able to bear the medicine bacterium, let people face such a reality, China is that antibiotic abuses one of the most serious countries in the world. The investigation finds, antibiotic exists in life extensively, except that prescription antibiotic in violation of rules and regulations exists in the dispensary, it is unreasonable whether to will or take preventive measures for commission too in the hospital or not and use antibiotic; And villagers feed and eat antibiotic in a large amount for the domestic animals and fowls, animal feed trade reflects that will generally add antibiotic in the feed. Professor of Zhejiang University medical college first hospital Xiao YongHong says, those take in and residual antibiotic in the body of animal directly, the ones that will all accelerate people's bacterium in the body are able to bear the medicine speed. So there must be use that corresponding regulations are used for standardizing antibiotic. The northwester arises, a stream of stimulating air fog would rather fill the air at once in the county town forever, can hear the pungent flavour of a drug from more than ten li of cities. Here have two domestic most big the intersection of antibiotic and the intersection of raw materials and the intersection of medicine and manufacturing enterprise, open yuans of Company and multidimensional medicine company. The family lives in the west near two pharmaceutical factories to defend village villagers and love the people (transliteration) oldly Begin, worry one's own body, have a headache, cold, have a fever such a light disease more and more, it buys pieces of yuan and more of cold relief capsules to be better in the past, yuan of medicines want, take for a long time effective now " . Chen AiMin says, he is exerted an uplifting influence on by antibiotic every day, breathes the stimulating gas that the pharmaceutical factory distributed, ill to wipe out the medicine that the pharmaceutical factory produced, the dregs of a decoction that enterprises produce are made animal's feed. They have also queried the groundwater has been polluted by the pharmaceutical factory, have reflected to the government many times, and enclose and stop up the pharmaceutical factory. He hears too Ningxia has presented the super bacterium, this bacterium can resist most antibiotic. AiMin Chen say " news it calls the roll to be Ningxia which the intersection of county and hospital the super bacterium appears, it is it is here would rather not forever,I am getting more strange at all " . The super bacterium " The achillean " Ningxia find NDM-1, overwhelming majority antibacterial medicine invalid to their, expert say antibiotic overflow, accelerate, able to bear the intersection of medicine and fungus form The super bacterium that Chen AiMin said means a was able to bear the medicine gene, its scientific name called " metal - �� - inner amide enzyme 1 " in New Delhi (call NDM-1 in the following text) ,This gene can be duplicated and rotates and dye in the bacterium extensively, and can produce a kind of �� - inner amide enzyme out. This kind of enzyme can hydrolyze the most extensive antibacterial medicine of clinical practice. It is nearly " The achillean " ,Known as the super bacterium. NDM-1 finds first in India. And will it be October 26 this year, China disease accuse of centre claim in the intersection of Ningxia and on one's body some two neonate and a old patient in Fujian that at county level hospital born, also find three carry the bacterium that NDM-1 is able to bear the medicine gene. These two infants in Ningxia, to March 8 and March 11 this year separately, one hospital at county level was born in Ningxia, it is the low weight. In 2 to 3 days that they are after born, diarrhoea and airway infection symptom appear. Accuse of the central bacteriology Hao Qiong, section chief of blood screening test lab and say, the centre was doing the subject for research that children suffered from diarrhoea at that time in disease in Ningxia, so collect baby's excrement and urine sample, " because time is tense, just ask national disease to accuse of centre's helping to make the analysis experiments of some samples " ,Have never expected that detected NDM-1 unexpectedly. Hao Qiong says, these two babies and its parents both live here, has not been to India and Pakistan, it means " The super bacterium exists too in the native country " . Nowadays, the bacterium living antibiotic around the mankind is not more and more afraid, it is stronger and stronger to be able to bear nature. Would rather XiangPing Sun, Vice President of county people's hospital, find the phenomenon already right away before 10 year forever, at that time, Sun XiangPing was still a surgeon, he accepted an injured youth for medical treatment, after an ordinary minor operation, the patient lasts two weeks, symptom has not taken a favorable turn, and heavier and heavier, make medicine, behind the quick experiment, find person this nearly until all antimicrobial appear, able to bear medicines at that time, after the patient transfers from one hospital to another, out of danger. "This is my first time to feel the danger able to bear the medicine bacterium deeply. " Sun XiangPing says. Through examining, there is a kind of mutant golden yellow staphylococcus in that young body. Golden yellow staphylococcus was a kind of common germ, could cause the skin, lung, blood, joint to infect. Begin most, penicillin is effective to it. And make a variation, it to penicillin, first the intersection of oxygen and west forest (half formate the penicillin) ,No longer sensitive. The a difficult to kill one able to bear the medicine fungus and call MRSA. The young man tell flat Xiang Sun whether he have the intersection of otitis media and medical history, the intersection of long term administration and a large amount of erythromycin Luo later on. Sun XiangPing says, the golden yellow staphylococcus that a large amount of antibiotic will not be able to bear medicine kills, but those funguses surviving have been made a variation into MRSA progressively. "In India and China, MRSA has already accounted for 50%-70% in the fungus group, but in Northern European countries such as Sweden, Denmark, Finland,etc., still less than 5%. " Zhejiang University medical college attaches to Xiao YongHong, professor of first hospital, and says. Xiao YongHong tells reporters, after 2000, the speed that MRSA increased was very fast. And it is environment that antibiotic overflow that accelerate, able to bear the intersection of medicine and forming of fungus. "So it is just not strange to present NDM-1 more terrible than MRSA. " " animal's feed is general to add antibiotic " The domestic animals and fowls, too in order to feed and eats a large number of antibiotic, the expert claims, the animal is in the body it will initiate bacteria to be able to bear medicines too that antibiotic remains and enters the human body The villagers in Yongning county love the people for finding oldly his life is dueing to antibiotic. Like other villagers, he will cure the place to buy a large amount of terramycin from the village, mixes various feed, feed chiken's and duck's pig's ox. He says, in this way the animal would not fall ill, the meat wears too fast. But the one that has raised the beef cattle for more than ten years has loved the people for finding oldly, it is cured if the ox of his family is very difficult to suffer from diarrhoea, have bought a lot of beasts to eat for oxen with antimicrobial from beast pharmacy on town, has not taken a favorable turn either. ShaoShan Ni make rural veterinarian for less than 20 year in Yongning county, the last he whether one the intersection of villager and pig that house have loose bowels pay a home visit to find, have used specific drug gentamicin for more than 10 years to be no longer effective suddenly. "The reason is that an animal takes the long time of antibiotic, will be able to bear medicines too. " Ni ShaoShan says, and his dealing with the method is: Continue strengthening the dosage. It has already been a general behavior to add antibiotic in animal's feed. Expert's investigations such as Professor Xiao YongHong,etc. find, China produces antibiotic about 210,000 tons of raw materials every year, in that 97,000 tons of antibiotic are used in the animal husbandry feeding, Accounts for 46.1% of annual total output. A feed distributor reveals, in fact most animal's feed of our country have already added antibiotic in process of production, use for the immunity of preventing disease. It is able to bear resembling and thinking, the animal uses antibiotic for a long time red forever of the medicine bacterium for many years to study, must remain, but behind it remains antibiotic and enters the human body with the food chain, also the one that will initiate the bacterium is able to bear nature. Will it be January 2006, European Union completely forbid, use, grow plain, antibiotic grow additive as feed in feed already. In 2008, there are members of the CPPCC National Committee that once submitted motions to two Conferences to weigh, in China, antibiotic was additive of feed generally used for livestock, the food pollution is a greater reason, as people have eaten these milk and meat products with antibiotic residue, will cause the internal germ to be able to bear nature to obviously rise. The motion thinks " Antibiotic is more terrible than three gathers cyanogen amine " ,And appeal for making the regulation and make the norm in abusing antibiotic. While interviewing, many food security experts say, China has not had a relevant law to restrict yet at present. " antibiotic-free milk " Is it safe? The expert says, the antibiotic-free milk adds one kind and solves and resists pharmaceuticals, if mix with the project fungus now, also may initiate bacteria to be able to bear medicines in people's food chain, may take in antibiotic and remain another channel, milk. The cow is apt to suffer from mastitis while changing according to the season every year, and it is apt to make the dairy cattle suffer from mastitis to adopt machinery to press the milk. Expert's investigation finds, in the general diary farm of our country at present, the ill rate of cow's mastitis is about 30%, and the therapeutic method is to make antibiotic. The medicine curing cow's mastitis is generally antibiotic such as penicillin, Streptomycin. The agricultural product Deputy Bureau Director of State Administration of Work Safety Cheng Jin of the Ministry of Agricultures call root when being interviewed by media, the original milk under the normal situation will not have antibiotic medicine to remain, but when the cow have disease, will treat with antibiotic, cow produce the milk can carry antibiotic to remain during this time, what stipulate the cow which suffers from disease must have 7 days subdues the medicine one at present. What if the milk produced in these 7 days? Cheng JinGen has shown, because there is not a more effective supervisory system at present, some original milk which contain the antibiotic has been still brought agriculturally and sell by some milk. Have expert think because antibiotic decompose while being difficult can form, remain in milk, drink the human body of milk of this bull kept for covering and certainly will take shape and is able to bear the medicine mechanism for a long time. As to antibiotic in the milk, the milk industry of brightness has proposed " antibiotic-free milk " The concept, much milk industries of our country successively put out one's own antibiotic-free milk immediately after it, the trade company does not have health and safety against food to trumpet. In May of 2009, 6 ministries and commissions of Chinese Health Ministry will jointly send the documents and call stopping " antibiotic-free milk " Propaganda,and is it relevant milk products shelves getting more lower immediately to order. The expert explains, the brightness milk industry " antibiotic-free milk " propagating But a certain interpolation in the milk " Solve and resist pharmaceuticals " ,Do not guarantee that there is not antibiotic from milk source. And " solve and resist pharmaceuticals " Not within the range of food additive of China. Chinese milk industry the intersection of man and cotton Wang, managing director of association, claim while interviewing by media, it has already been a trade that the milk product added and solved and resisted pharmaceuticals " Sneak the rule " . Nat'l Pharmaceutical Biological Products Control Inst, had inspected five milk samples which producers produced by random samples between August and 5 in 2006, the result reveals, 63.2% of the samples contain �� - inner amide enzyme (solve and resist pharmaceuticals) . Zhao ZhiJun claims, what added solved and resisted pharmaceuticals, basically got �� - inner amide enzyme that can hydrolyze antibiotic by making the microorganism ferment in genetic engineering in the milk, solve, resist pharmaceutical, might sneak into �� - inner amide enzyme maker the intersection of project and fungus while being not so purified, probably erect and lead to one by one directly through the spread among the bacteria behind this fungus enters the human body " The super bacterium " Bridge. Selling medicine in violation of rules and regulations, prohibit but incessant Investigate the discovery of 10 dispensaries secretly in Yongning county of Ningxia, 7 are selling prescription antibiotic in violation of rules and regulations Would rather XiangPing Sun, Vice President of county people's hospital, tell reporter whether have larger antibiotics it flows out the source to be but also in the dispensary forever, buy the prescription antibiotic medicine and must hold the prescription that the doctor open according to the regulation, but seldom there are pharmacies that can follow this regulation. A lot of people's cold, having a fever or suffering from diarrhoea, can buy prescription type antibiotic such as a spore directly to the pharmacy. "Still recommend more expensive antimicrobial for you directly in some dispensaries. " Sun XiangPing says. On November 8, reporters would rather investigate 10 regular pharmacies of county town secretly forever at random, buy to medicine left oxygen Fluorine sand star of antibiotic. Have prescription, 5 pharmacy sell medicine to reporter, 3 refuse, two propose, want, get private clinic by the pharmacy can turn on a prescription selling medicine first. Ningxia implemented buyers since July of 2004 and must hold the prescription with antibiotic, but encountered the predicament in subsequent implementation. "Health authorities are unable to verify and supervise in an all-round way to the prescription which purchase medicine, adopt and spot check at random, supervise and become a mere formality. " A medicines operater in Yinchuan says. "The pharmacy is profitability, will seldom refuse to sell medicine, buy the first class pharmacy of the township in the county of prescribed medicine to carry out according to the prescription, it is basically a inspection of the perfunctory higher authorities. " Famous medicine product operater says this. According to his introduction, after the news produces Ningxia and presents the super bacterium, the sale that the Ministry of Health successively went to every pharmacy to urge to control the antibiotic medicine strictly many times, "what in fact everybody should sell or selling, sell out medicine first, higher authorities look for a clinic doctor and open a lot of prescriptions while coming to check, not on walking " . Patient's antibiotic rate of utilization is 70% that severely afflicated area China of clinical application is in hospital, the affiliated hospital of medical university of Ningxia has investigated and prosecuted 5 doctors and got commissions and let the patient exceed the time limit and use medicine Recently, Sun Xiang flat one the intersection of friend and cold, go one clinic diagnose the illness, clinic turn on three week heads of the intersection of spore and the intersection of three generations and antimicrobial of dosage. "Generally unnecessary to have a fever to use this kind of expensive and violent medicine, ordinary antibacterial pharmaceutial use is the limit too in two weeks. " Sun XiangPing says. 10 kinds are antibacterial medicines in our country's consumption, sales volume rank the first 15 medicines at present. The national bacterium of Ministry of Public Health was able to bear medicines and monitor the result to reveal, the annual rate of utilization of antibacterial medicine of national hospital was up to 74% according to 2006-2007. In developed countries such as U.S.A., Great Britain,etc., the antibiotic rate of utilization of the hospital is only 22%- 25%. And China is in the patient in hospital, the rate of utilization of antibiotic is up to 70%, the surgical patient among them, nearly everybody uses antibiotic, the proportion is up to 97%. It is that the affiliated hospital of medical university of Ningxia cures the Commissioner of Mines that the late name is big, it is one of the committee members of the medicine thing committee of the hospital too. This committee will spot check the clinic doctor's prescription regularly every year, once it is unreasonable to find and enable Use antibiotic, charge performance of department this to, examine to it, deduct the bonus, the firewood is degraded until lowering. He say some little surgery unnecessary to use antimicrobial in principle, but he finds, each operation will nearly all use a kind of even many kinds of antibiotic in clinical, " some even use four or five kinds of antibiotic, there is not applicable symptom that is used too, the dosage is large, uses medicine for long time " . Do not conform to being serious? Moraine per share the intersection of �� and towering �� of �� Ti unreasonable Su of � several broadleaf plants one � quarrel �, Yu of crane, greedy for food Huang of school �� Qiu pay �� miserably sense difficult for �� to look at, waste all �� Jie? He finds, the dispute of doctors and patients that sends frequently lets the doctor often defend the idea that suffers from Yu WeiRan, do an operation and use a pile of antibiotic, even there is no obvious applicable symptom, they sterilize and diminish inflammation, prevent from infecting with antibiotic too. Doctor big to say, once would succeed the accident of the hospital after infecting to late name, one lawsuit spend 100,000 more than hospital soon, pressure very large, will use many kinds of antibiotic preventative. But the late name is big knows, some doctors abuse antibiotic to gain for oneself. Affiliated hospital of medical university of Ningxia - -Ningxia area synthesizes the the highest level hospital of the first, second and third, produces the scandal at the end of 2005, 5 clinical department's doctors are suspected of being involved in taking trader's commission of medicines, exceed the time limit and use the expensive antibiotic medicine to the patient " Taide drink " . Mention this " The family scandal " ,The affiliated hospital cures the late name of the Commissioner of Mines bigly and rather sighs with deep feeling. He says, the expert panel of Ministry of Public Health comes to our institute to survey and study, spot check and find in the clinical case, the patient of an department just does a lymphocytic operation, use antimicrobial of the very beginning spores of three generations close to one week, itself the operation need antimicrobial, hospital investigate assert genus to be unreasonable to use medicine. Treatment publicly that this institute lowered the firewood, degraded to 5 doctors. The late name is big says, after the accident happened, because unreasonable uses medicine, the hospital successively dealt with many persons in charge of department yet. Participate in constructing Professor Xiao YongHong curing the affiliated hospital of University of Science and Technology in Zhejiang that the bacterium of Ministry of Public Health is able to bear the medicine monitoring net to tell reporters, 50% of the income of domestic hospital come from the expenses for medicine, among them antibiotic accounts for 25% of all medicines incomes again. "The tertiary first rate hospital where this figure pointed, the hospitals of the county, township, rank of village, the hospital income medicine that his antibiotic produces is taken to may be higher, the unreasonable severely afflicated area that use medicine of these places. " Xiao YongHong says. Demand urgently to standardize antibiotic at present, it is ten times that of U.S.A. that the antibiotic per person of our country consumes every year. The expert proposes that should legislate to standardize antibiotic and use and resemble and appeal for the administrative departments at all levels all the time for many years red forever, to the intersection of antibiotic and unreasonable attention and supervision that use, he think oneself to be alone force thin always, it is difficult to oppose severe reality. At present, the antibiotic per person of our country consumes 138 grams of Damien every year, this figure is ten times that of U.S.A.. Vice Chief of autonomous region of Ningxia department of public health Cui Xue only reveals, " China is that antibiotic abuses the most serious country in the world " . It is constant because in antibiotic " Eliminate " Left, the ones that survived were able to bear more and more medicine bacteria, much diseases become difficult to cure. Ministry of Public Health announce figure reveal every year such as our country because medicine die 200,000 people by bad reaction on 2003, among them abuse the death toll of antibiotic and up to 80,000. And in the same period, it is 10,000 because European Union's death toll abuses the death toll of antibiotic. The Vice President of a hospital at county level in Ningxia tells reporters, in fact, Ministry of Public Health issued " antibacterial medicine clinical practice guideline " (hereafter referred to as the principle) as far back as 2004 ,The function on various antibiotic, side effect and detailed regulation of using adaptation symptom, dosage to do. "But this is only a guideline, ones that do not possess administration and law are mandatory, what really implemented is not several in the basic unit. " This Vice President says. The affiliated hospital of medical university of Ningxia goes through " The commission door " Later, made the pharmacy dept. of the hospital responsible for " great prescription " about antibiotic Carry on thorough checking and supervision. Once the big prescription appears, the pharmacy dept. can refuse to make up a prescription. But Jia happy Sichuan seems, this is a " job beset with difficulties " . He is a Deputy Director of the pharmacy dept. of this affiliated hospital, have already become a druggist for more than 20 years. "Doctor listen to you at all, I to diagnose the illness doctor, I why you make indiscreet remarks prescription, it is fine for disease to cure responsibility of you, insist on the intersection of and I that use medicine there aren't any way even. " Jia LeChuan says. Would rather XiangPing Sun, Vice President of county people's hospital, think, should be from health authorities forever, even appear to take the lead in establishing the medicine thing committee with the first class local government, supervise to the administration of the hospital. And this committee is independent of hospital, its funds are by government's guarantee, in this way the supervision of the committee has independence. And the member of the CPPCC National Committee says, the country should make the relevant standard, legislate to forbid using to the antibiotic which the mankind employed in the animals and plants, restrain some antibiotic from use, make in the food can remain kind and the intersection of content and standard of antibioticking, strengthen and monitor and measure. Xiao YongHong says, if the country is abused and paid attention to to antibiotic, have one day, we will face patient's having no situation that medicines can cure. " Staff reporter's topaz great Ningxia report The super bacterium controls the network " Ignore " After rural two infants of Ningxia in the county are detected there are super bacteria ndm-1 in the body, whether are there people to carry the similar bacterium in the whole district, the Wei 's is unable to find out too, though he is undertaking the holy mission that the medicine bacterium monitors to able to bear the whole district. The Wei 's is a Vice President of affiliated hospital of medical university of Ningxia, in charge of laboratory and bacterium's storehouse of this institute. This institute is that Ministry of Public Health is able to bear the medicine bacterium's monitoring net and monitor one of the site hospitals in the only two of Ningxia area. From 2005, Ministry of Public Health set up bacteria in the whole country and was able to bear the medicine monitoring net, the first 128 of the first, second and third and more than hospitals became and monitored the unit by fixed position, there are more than 150 families nowadays. Every quarter, these hospitals will report our institute and able to bear medicine bacterium's case and data to the national laboratory clinically, in order to find bacteria are able to bear the variation tendency of medicine conventionally and to able to bear the catching in time of medicine phenomenon speciallying. However, the super bacterium ndm-1 was not found by this monitoring net this time, but disease in Ningxia accuses of the centre while doing other projects, let national disease accuse of centre's helping to measure, find in the chance. Wei Jun says, ndm-1 is not a question, but it exposes the domestic loophole that monitors and prevents and controls to this kind of bacterium. Able to bear medicine fungus after changing super bacteria ndm-1 of Ningxia once every two years, 128 of the whole country monitor the hospital and begin to sift and check bacterium's storehouse by fixed position. The laboratory of the military academy of medical sciences is from a ndm of detection in a piece of more than 200 of bacterial strain which hospitals sends of Fujian Province- The positive bacterium of a gene, the patient who carries this fungus is a cancer patient in one 83 -year-old later period. The old man had already died. It is reported, the patient is not death of this bacterial infection. Sift and check in the storehouse of this courtyard of bacteria too in the laboratory of the affiliated hospital of medical university of Ningxia, have not found the super bacterium. Responsible for the ZhiJun Zhao checked to sift say present result limited to clinical more than 5000 bacterium's samples that have collected go on, find since 2008 to hospital this only. Does he say, " to the situation of the whole Ningxia area, it is unable to learn, only does our institute set up thinly in the whole Ningxia area? � Suan! ? According to the introduction of Zhao ZhiJun, make, rank, consult, need, pay the cost of 50 yuan by first bacterium, if measure 6000, need 300,000, " the cost is too high, it is very difficult for the general hospital to afford to pay. " In when on earth Ningxia will appear to ndm-1, does not still have unknown case, how to sift and look into and monitor the whole district, the department of public health of Ningxia runs disease and accuses of being responsible for being called the place, " we have no ability to monitor and sift and check the appearance situation of ndm-1 in the whole autonomous region in an all-round way yet. " The Wei 's tells reporters, the speed that antibiotic researches and develops can not far catch up with variation and transformation speed of the bacterium. Clinical medical research shows, since the middle of last century, antibiotic used as antibacterial and using can upgrade a generation of products, and whom human body carry able to bear the medicine bacterium, have variation averagely every two years. It becomes the blind area that the county, township, village are tertiary The bacterium of China is able to bear medicines to study and start very late. Foreign until last century begin, pay close attention to the fact bacterium able to bear measure and prevent and control by clinic of medicine the eighties, a lot of country set objectives monitoring network of the bacterium at that time. Professor of Zhejiang University medical college first hospital Xiao YongHong, has participated in bacterium's able to bear the medicine monitoring net system to constructing. He says, as the production against fungus medicine, use big countries, it is quite scarce and lagging behind yet that the bacterium of our country is able to bear medicines and monitor with prevention and control. Xiao YongHong thinks, the monitoring net can only be " monitored passively " at present ," very difficult full coverage, catching as to able to bear medicine phenomenon speciallying is a bit unable to do what one wishes even more " . YongHong Xiao say compared with total amount of several tens of thousands of two tertiary hospitals in the whole country, monitoring net reach more thanth the intersection of the first, second and third and coverage rate and cover depth with to be really enough of hospital just, retrospect once every one years analyze unable to meet, able to bear medicine bacterium's more and more fiery reality at present. Moreover, what monitoring point is all selected is the provincial capital at present, there are relatively advanced laboratories. Xiao YongHong says, it is very difficult for the present network framework to realize " monitor voluntarily, it must be the blind area that the county, township, village are tertiary. This time, China's disease accuses of two cases that the centre notifies and happens in one hospital at county level, the hospital at county level has not been included in and has monitored the network. Improve and control the network, have difficulty in taking a step September 6 this year, the affiliated hospital of medical university of Ningxia has submitted a report of system of mode of prevention and control regarding set up in the whole district and able to bear the medicine bacterium mrsa fungus to department of public health of autonomous region of Ningxia formally. "This is the whole Ningxia area's the first time to put forward the proposal of establishing the system of prevention and control to being able to bear the medicine bacterium, absolutely create in the whole country first too " Vice President of medical university of Ningxia affiliated hospital Wei Jun participating in making this scheme claims, "we to think, explore, set up to the intersection of this area and relatively serious, able to bear nature fungus golden yellow staphylococcus monitoring and prevention and control system moding common first, see whether could popularize in Ningxia area " . Able to bear the person in charge of the medicine fungus monitoring net as the affiliated hospital of medical university of Ningxia, Zhao ZhiJun thinks " The work is too difficult to launch " . Zhao ZhiJun claims, we have been to a lot of tertiary hospitals, a lot of hospitals are unwilling to do this job, "use antimicrobial each time in principle, should make the quick experiment of medicine, but a lot of patients are unwilling to offer this sum of money, will run and can only be paid the bill by the hospital, the enthusiasm of the hospital should depend on the leader's will " . Actually the Wei 's imagined other 6 relatively large hospitals at the basic level with this district carry on the first batch of pilot cooperation, find from the intersection of laboratory and the intersection of bacterium and detection, infect, control with clinical treatment controlling, according with to one does not terms in the courtyard survey and study, " the bacterium of the basic unit prevents and controls now really has difficulty in taking a step " . Staff reporter Huang YuHao
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