Our country has become that abuses antibiotic big countries
Our country has become that abuses antibiotic big countries
China: Because 80,000 people abuse the antibiotic death every year At an international conference held at the beginning of August, the national bacterium of Ministry of Public Health is able to bear the person in charge of monitoring net of medicine to point out, the antibacterial medicine of our country is able to bear medicine rate and remain high at present, the pathogen infecting the first 5 in the courtyard is able to bear the medicine situation to worsen constantly, " able to bear the medicine fungus superly " The clinical separating rate soars day by day. This shows, the existing medicine is dealt with and able to bear the medicine germ superly more difficult. Among them, it is particularly outstanding that antibiotic is able to bear the medicine question. 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. And no country uses antibiotic large-scaly like this in the world, in developed countries such as America and Great Britain,etc., the antibiotic rate of utilization of the hospital is only 22% - 25% . Severely afflicated area where antibiotic for a long time of gynaecology and obstetrics of China abuses, Shanghai mayor would rather the intersection of district and the intersection of central hospital and the intersection of gynaecology and obstetrics and statistics for many years reveal penicillin been able to bear nature and have nearly been up to 100% at present. 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%. Disease classify investigate China infective disease account for, have illness coming on 49% that count always by all disease 1995-2007 year according to another, among them bacterium's infection accounts for 18%-21% of all diseases, that is to say more than 80% abuse antibiotic, 80,000 people die every year. China under the age of 7 children because of unreasonable to use antibiotic cause deaf quantity reach 300,000, accounts for 30% to 40% of overall deaf and dump children, and only 0.9% of some developed countries. In the infection disease patient in hospital, it is 11.7% to be able to bear the case fatality rate that the medicine mushroom infects, ordinary only 5.4% of case fatality rate that infect. These figures make China become and abuse one of the most serious countries of antibiotic problem in the world. Chinese style abuses 80 billion interests chains behind antibiotic Medicine unreasonable to use, know to consequence to able to bear medicine insufficient, the main reason that medicine rate is high that able to bear, China though already at 2004 and issue 2009 by " the antibiotic clinical practice guideline " respectively and <
>, but the medical organization is still uncomplete in execution of the above-mentioned guides and regulations. Relevant statistic reveal, half of the first 10 is antibiotic to use medicine in recent years. An important reason, the hospital excessively pursues the economic benefits - -It is the major part that antibiotic is sold in the pharmacy income, occupy 30% of the rivers and mountains at least. The statistics show, every year because antibiotic is abused to cause the hospitalization cost to increase by 80 billion yuan, it is plain to only use the third generation of very beginning spore's fungus in advance, the whole of China costs more than 700 million yuan more in one year. In China, most common phenomenon whether patient order to require doctor turn on antibiotic kind. Most doctors will handle affairs according to the rule, choose appropriate antibiotic for the patient, but too yes some doctor in line with " Can open and open more " Psychology,meet it need commission patient or it if you can't write a prescription, earn. But in U.S.A., the difficulty of buying antibiotic is greater than to buy rifles - -Antibiotic belongs to the prescription medicine to relatively rigorously enforce control, doctors can only follow patient's concrete condition and bacterial infection type, open the corresponding antibiotic prescription. Once the evolution in violation of rules and regulations, will receive the warning even revoke licence. And the permission without professional doctor is signed, the dispensary or pharmacy of any hospital, do not allow to sell antibiotic to citizens. Antibiotic era before the super bacterium will present European expert's worried China to return to successively 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. And about the present NDM-1 super germ, in fact Hong Kong will find the first case as far back as 2009, a 66 -year-old Indian borderland man's urine sample contains Escherichia coli of NDM-1, but the patient has already fully recovered. The spread route of this kind of bacterium has not been confirmed finally yet at present, but main source India and Pakistan and neighbouring China of the germ, one that is according to present spread speed and international travel frequent, exclude the possibility that NDM-1 enter China. On the other hand abuse the developing state of antibiotic at present according to China, the new super bacterium will also appear within 10-20 years successively, all antibiotic will lose the effectiveness to them. Swedish infectious disease controls Sri Lankan of Anderria of the research institute hertz guides the Buddhist nun (AndreasHeddini) Warn, if abuse the momentum of antibiotic and can't be contained effectively, antibiotic era before the mankind will probably return to.
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