Will comprehensively regulate antibiotic abuse in the next two or three years

The use of classified management, doctors have regulations-the reporter Chen Li in Shanghai's imminent appearance of the health reform plan, strict control of antibiotic abuse is expected to be written. In response to the problem of antimicrobial drug abuse, the Ministry of Health this year will be the national "antibacterial drug use special management action", and will be drafted as soon as possible, "medical institutions antimicrobial management measures." The Shanghai Municipal Health Bureau is developing a set of rules and regulations for the classification and management of antibiotics.　　In the next 2-3 years, Shanghai will comprehensively regulate and standardize the use of antibiotics in medical institutions, and strive to make Shanghai the most standardized area of antibiotic use in China. The status of antibiotic abuse in Shanghai is "alarming" in the case of "bottle of antibiotics for cola".　　Both doctors and patients are willing to use new, broad-spectrum antibiotics that should have been used for serious infections and to save lives. Du Wenmin, deputy director of the Shanghai ADR Monitoring Center, said that in the top 10 of drug consumption, antibiotics such as cephalosporin cefradine, Ceftriaxone, ciprofloxacin, levofloxacin, etc. accounted for half of the total. In the Shanghai ADR monitoring database, more than half of the adverse drug reactions caused by antibiotics are caused by irrational drug use. "Some patients have a slight cold fever, then penicillin, amoxicillin, roxithromycin, ofloxacin and so on together, also do not seriously read the instructions." "People in the industry point out that the key to controlling antibiotic abuse is to manage doctors." "Bacterial resistance is growing faster, clinicians must strictly grasp the indications of antibiotic use, or will fall into the position of no drug available." Professor King, director of Clinical microbiology at Ruijin Hospital, pointed out that patients with infection, physicians must be left to take blood, urine, sputum and other samples for bacterial culture examination.　　But in the actual clinical work, many physicians do not attach importance to this, relying solely on empirical medication, that the general infection as long as the use of antibiotics pressure on it. Many hospitals in this city have intervened in all aspects of antibiotic abuse. Ruijin Hospital carries on the classification management to the antibacterial drug, the formulation antibacterial drug classification table and the physician Authority list. Patients using the antibiotics above the second line must fill in the Application form, signed by the attending medical staff, the medical department seal.