Yesterday, the provincial Health Department held a video conference call on the "Special Inspection Activities for the Clinical Application of Antibacterial Drugs." The conference revealed that: In this year, the proportion of the income of antibacterial drugs in hospitals of Grade II or above will fall by more than 10 percentage points. The use of antibiotics will further reverse the status quo of “taking medicine to support medicine”. The presidents of major provincial hospitals also signed a "military order" for the rational use of antibiotics with the Health Department.

Huang Zuhu, deputy director of the Provincial Health Department, said bluntly that the clinical use of antibiotics in many hospitals is currently not optimistic. The main problems are: the number of clinically used antibacterial drugs is large, and the specifications are disordered; the use of antibacterials is high, the dosage is large, and the structure Unreasonable; Some medical institutions are seeking new products, seeking expensive products, and seeking extensive products. The combined use of antibiotics is relatively common. The awareness and ability of rational use of antibiotics by clinicians is not strong, and many antibacterial agents have unclear curative effects, large side effects, and low cost-effectiveness. Drugs are still in heavy use, and so on.

According to reports, currently the use of antibiotics in large hospitals in our province is generally above 60%, and some small and medium-sized hospitals and community hospitals account for more than 70%; while the proportion of developed countries in Europe and the United States is only around 30%. According to the statistics of the Ministry of Health, the per capita consumption of antibiotics by the Chinese is 10 times that of the United States. Of the 1.8 million deaf-muted children in China, 60% are caused by drug injuries; of the 10 million deaf-mute people, 60%-80% are related to adverse drug reactions.

This time, our province’s determination and efforts to punish the abuse of antibiotics are unprecedented. The “Notice on Implementation of Special Inspection Activities for Clinical Application of Antibacterial Drugs in Jiangsu Province” issued by the Provincial Department of Health requires that all hospitals strictly control the procurement of antibiotics and the number of antibacterial drugs in the next three major hospitals and secondary hospitals during the year. It is necessary to control 50 kinds and 35 kinds respectively, and injection and oral dosage forms of the same general name of the second and third grade hospitals should be controlled within two kinds.

Preoperative control medications and postoperative prophylactic medications have also been clearly defined in our province. For example, hospitalized patients should use antibiotics for surgery from 30 minutes to 2 hours before surgery. Prophylactic medication should not be used after surgery. More than 24 hours. The use rate of antibacterial drugs in inpatients in medical institutions does not exceed 60%, and the use rate of antibacterial drugs in outpatients does not exceed 20%. During the year, the proportion of antibacterial drug income in hospitals at grade two or above accounts for more than 10% of hospital drug income.

The notification also requires that each hospital must organize an expert group to review 25% of the prescriptions prescribed by doctors who have the right to prescribe antibacterial medicines, and to make a review of not less than 50 prescriptions; the top 10 to use antimicrobials unreasonably Physicians should report criticisms throughout the hospital; in the year, if they use antimicrobial agents for more than three times and have no justifiable reasons, they may be given warnings, suspensions of prescription rights, prescription rights, revocation of their professional qualifications, etc.; if a crime is constituted, criminal responsibility shall be investigated.

Industry insiders said that in order to change the status quo of clinical overuse of antibiotics, in addition to the introduction of various measures to restrain doctors and hospitals, the status quo of medicine for medical treatment must be fundamentally changed. Someone said it more profoundly: “Only hospitals The long-term goal is not to create income, the hospital returns to public welfare, and the goal of rational drug use can be truly realized." (Zhong Chongshan)