2011年12月15日星期四

cancel dean or dismissal

The abuse of antibiotics prescribing doctor cancel dean or dismissal
Antibacterial agents in China is low-level repeat production, photosensitizing toxicity, severe lomefloxacin fleroxacin in foreign countries has been withdrawn or rarely used, our country still have respectively 50 and 30 companies in production!
Guangdong Province antibacterial special rectification work group group leader, Ministry of health deputy director Liao Xinbo said, the rectification action punishment does not" up, down gently", serious violations of the doctor will cancel the prescription right, and it is suggested that the Dean, Dean office.
" Six cold have a fever but is caused by a virus, it is no use to eat antibiotics. But the community, township doctors often gave a cold patients, this and compensation mechanism does not reach the designated position, they rely on to sell drugs to make money. In addition, many patients have misunderstandings, a cold and asked the doctor to fluids, antibiotics, think it can be better." Canton hospital, Guangdong Province Professor antibiotic resistance monitoring and quality control center for Zhuo Chao said, from 400 to the present antibiotics 7000 a variety of, many physicians such as knowledge to update, the use effect and it is hard to distinguish, especially in combination are more prone to make mistakes when.
Guangdong Provincial Health Office of introduction, according to the Ministry of health to deploy, from this year to carry out remediation activities of antibiotics abuse. According to the annual target, will focus on the control of antimicrobial drug purchase and use the number of varieties, three varieties of hospital should not exceed 50, two grade hospital in principle not exceeding 35. Medical organization of antibiotic use rate of not more than 60%, outpatient antimicrobial drug prescription ratio of no more than 20%. In addition, the cleaning operation in patients with prophylactic use of antimicrobials for ratio of no more than 30%.
After nearly six months of renovation, the provincial health department recently on the antibacterial special rectification activities of supervision and inspection, showed the province level three hospital antimicrobial breed all is controlled in 50 less than, and the majority of hospital inpatient and outpatient antimicrobial use rates are standard. But for individual medical institutions understanding does not reach the designated position, management strength is insufficient, punish activity is relatively slow progress.
" If there is violation of our hospital, although there is no direct from the superintendent 's power, but it is recommended to dismiss the power." Liao Xinbo said, director of the hospital management of clinical application of antibacterial drug is person of the first responsibility, the health department will be on the involved Dean talks Jiemian, supervision of illegal doctors hospital internal processing. The next step will be to strengthen supervision," some hospitals that three years later, we asked three years must be compliance."
1 / 3 intensive care unit patients without antibiotic
It is understood, according to this regulation, the province of major hospitals also have used Henzhao, one of the two leading hospital No.1 Affiliated Hospital of Zhongshan University, Guangdong General Hospital -- the punish strength maximum.
How to control the excessive medicine doctor? No.1 Affiliated Hospital of Zhongshan University tricks is self-built medication information system, imposed on physicians antibacterial drug licensing restrictions, restrictions on the type of antibacterial drugs to attending doctors may prescribe above, special classes of antimicrobials for subtropical high titles over doctors applying for and after hospital expert consultation to authorize the use of. Physician billing grading, to bypass the immediate leadership medicine, the computer will automatically remind" have no right to open the medicine". According to statistic, first half of the year, the hospital has 32 on the use of antibiotics for doctors in hospital informed criticism, the next step will be to improve the degree of punishment.
Guangdong General Hospital from 2001 began implementing antimicrobial restriction measures. According to the provincial medicine east area director ICU Wang Shouhong, the ICU (ICU ) patients, 1 / 3 for non antibiotic therapy.
Medical antibiotic abuse regulation, deputy head of Department of Respiratory Medicine Director Chen Zhengxian introduced, hospital at the end of the year will according to the doctor's medication, analysis of published" the worst doctor medication .".

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