“Three no’s” to control the misuse of antibiotics

  Buying antibiotics, lightly; using them, is unprincipled and even liberal. This situation is expected to no longer occur. In order to “control” antibiotics, the “strictest ever” Ministry of Health Order No. 84 “antibacterial drug clinical application management measures” will come into effect on August 1. The actual 5Rs and the “three no’s” are required for doctors and patients to be committed to the standard implementation of antibiotics.  The actual fact is that it is easy to buy antibiotics in a pharmacy, which many people are already accustomed to.  The first thing you need to do is to get a good idea of what you’re looking for. The salesman enthusiastically greeted the reporter to the counter full of antibiotics: “You choose, want to buy more expensive or cheaper?” The reporter roughly estimated that there are dozens of different manufacturers and prices of antibiotics. The reporter finally asked for a box of 18 yuan of “amoxicillin”. The salesman did not ask the reporter for any prescription, etc., easily bought.  The first thing you need to do is to get a good idea of what you’re looking for.  The actual fact is that you can find a lot of people who are not able to get a good deal on this kind of thing. When the reporter asked why prescription drugs can be bought without a prescription, a pharmacy manager said that all pharmacies do not need a prescription, the store can not be because of the prescription problem and not sell antibiotic drugs, so it is not realistic.  Nowadays, many people as long as a common cold to go to the pharmacy to buy their own cold medicine, and then some antibiotics, formed as long as the cold and cough to take antibiotics inertia thinking. In the hospital, if the doctor does not prescribe antibiotics, some patients’ families often complain that the doctor is irresponsible and has a bad attitude.  The antibiotics, also known as antibacterial drugs, are prescribed for long-term use. Many doctors and patients are very superstitious about antibiotics and regard them as a panacea. Many people use antibiotics repeatedly and in large quantities, no matter what type of cold, fever, diarrhea, asthma, etc. they suffer from.  The survey data from the Ministry of Health shows that China produces 210,000 tons of raw materials of antibiotics every year and uses 180,000 tons, and the per capita annual consumption is 10 times that of Americans. 2010, China has an average of 8 bottles of infusion per person, and the use of antibiotics is excessive and excessive.  The children’s hospital affiliated to the Wen Medical Department of respiratory medicine physician Su Miao reward told reporters that patients infected by drug-resistant bacteria is very tricky to treat, especially some patients referred to lower hospitals, before the successive has used six or seven different antibiotics, to the big hospital, to the receiving doctor increased a lot of treatment difficulties, all this is the misuse of antibiotics caused.  The city’s central hospital, the head of the Department of Sensory Control Chen body Xian told reporters, antibiotic drugs are divided into many types, once improper use may occur serious adverse consequences, especially to the ears and kidneys and other important organs damage, such as streptomycin, kanamycin can cause vertigo, tinnitus, deafness; gentamicin, kanamycin, vancomycin can damage the kidneys; penicillin can cause brain damage, chloramphenicol, tetracycline cause liver damage, etc.  Too much antibiotics can make bacteria resistant. In recent years, patients who are resistant to multiple antibiotics are often seen. In some patients, sputum culture bacteria are resistant to more than 90% of antibiotics, and even all antibiotics are useless, which is caused by antibiotic abuse.  The actual antibiotics are a lot more than just a few of the most popular and also the most popular. The reporter also learned that the varieties of antimicrobial drugs in the tertiary general hospitals do not exceed 50, the varieties of antimicrobial drugs in the secondary general hospitals do not exceed 35, the varieties of antimicrobial drugs in children’s hospitals do not exceed 50 in principle, and the varieties of antimicrobial drugs in maternity hospitals (including maternal and child health hospitals) do not exceed 40 in principle.  Chen Shengxian said, antibiotics have strict principles of use. The first diagnosis of bacterial infection, there are indications before the application of antibiotics, in the application of antimicrobial drugs in the early stage, should be identified as early as possible infection pathogen. In the early stage of symptoms, antibacterial drugs can be used prophylactically to control the symptoms of the infection early and slow down and control the progress of the patient’s condition.  For those who can receive oral administration for mild infections, orally absorbed antimicrobial drugs should be used, and intravenous or intramuscular administration is not necessary. Only in patients with severe infections and systemic infections, the initial treatment should be administered intravenously to ensure efficacy, but when the condition improves and can be administered orally, it should be switched to oral administration as early as possible.  At present, the major urban hospitals have adopted a very strict system for the standardized use of antibacterial drugs, such as monthly reviews of doctors’ prescriptions, and doctors who appear to be over-prescribed with antibacterial drugs have been interviewed, financially punished, suspended prescription rights, and suspended from practice.