The rural hospital tries solving the difficult problem in the world Antibiotic of rivers and mountains of Zhejiang abuses symptom and is relieved

The rural hospital tries solving the difficult problem in the world Antibiotic of rivers and mountains of Zhejiang abuses symptom and is relieved
Author: Xiao GuoQiang Zhejiang Daily Hangzhou reports a doctor and prescribes a kind of antibiotic each time on April 20, see red, yellow, three green lights first, and will sign one's own name on the prescription; If the patient insists on using antibiotic, must want oneself to sign Don't be surprised, such strict antibiotic control measure, it is not in the western developed country, not also in the large hospital in the city, is in Zhejiang. Abuse this difficult problem in the world in the face of antibiotic, the city of rivers and mountains is under international hygiene and centre of development, Zhejiang Province medical association and Zhejiang normal university,etc. numerous medical experts' guidance of British London University institute, launched the large-scale one from last year " The rural experiment " . This morning, the project held in department of public health of the province is formed at the public lecture of the question, the expert participating in the conference speaks highly of this method of the market of rivers and mountains. Prescribe antibiotic, watch the traffic light first At noon on April 15, reporter sees physician and king Zhong HuaShi in the gorge mouth town commune hospital of the intersection of rivers and mountains and city, he is seeing the doctor for the little brightness of the students that is catching a cold. "OK, it would be better if did not have a fever and take some traditional Chinese medicine cold and clear particle. " Wang ZhongHua tells us, this kind of situation like the little brightness, according to the regulation for use of antibiotic of the commune hospital, belong to the typical one " The green light " Symptom, does not allow to prescribe antibiotic. If the body temperature exceeds 39 degrees, present the dehydration situation, or breathe, the heart rate is abnormal, this is " red light " Symptom, must use antibiotic. If the body temperature exceeds 39 degrees, though have a stuffy nose, other situations are all normal, this is " yellow lights " Symptom, can determine whether to use antibiotic or not according to the actual conditions. Wang ZhongHua handles others' disease each time, should filter a requirement for the red, yellow, green light in the heart, determine whether to open antibiotic or not. And each time opening antibiotic, he wants to sign on the prescription form. If prescribe more than two types of antibiotic, must pass the signature of the chief of the office of the department. Since last March, the rivers and mountains have realized this new regulation in half the health clinics in towns and townships and community health station of the whole city, and use antibiotic to drop the proportion to list in the annual examination goal of the hospital. It must sign and affix one's private mark to putting down want antibiotic What is to be done if the patient insist on prescribing antibiotic? "Do the best to persuade first, can not persuade and sign and affix one's private mark. " The gorge mouth town president of commune hospital Liu XiaoQing says, because health knowledge is deficient, in addition, it is anxious to cure the disease, a lot of patients want to use the best medicine once coming up, make short work of. If doctors do not prescribe antibiotic, the patient will also say the doctor is abstandard, even takes several days to cure a cold. Interview day, villager Zheng hold the 7 -year-old son to come into the consulting room newly bravely. "Doctor, the child has a high fever, 39.5 degrees, hang a bottle of brine for him. " Head of the department of internal medicine Yang GaoQiang tells Lao Zheng, child's body temperature is a little high after checking carefully, but other normal, does not need infusion, just use some antipyrestic, and the patient danger of explaining antibiotic abusing and infusion. "I see, but in case child burn out brain what is to be done? " Lao Zheng insists on infusion. Finally, Yang GaoQiang have to take out a clinic record, let him sign the name. "Let patients sign and affix one's private mark, can be educating and touching for patients virtually. " XiaoQing Liu say at patient sign the intersection of oneself and name, the intersection of federation and click under heart, then will think the intersection of antibiotic and the really very much serious thing, careless. As time passes, antibiotic can't be abused and just known. The administration of antibiotic, young twenty percent The statistical data reveal, are implementing antibiotic new and fixed health clinics in towns and townships and community health station, the proportion that the out patient used antibiotic has been reduced from 75% beginning to 59% at present, nearly 20% of fall, the patient sees the expenses of the clinic each time, has dropped to 31 yuan from 44 yuan of last year too. Go in for in the money of Deputy Bureau Director of Municipal Health Bureau of rivers and mountains a big way seeming, antibiotic is abused, the reason why controlled tentatively, because this new regulation is easy to operate, help the doctor carry out. "In the past, the doctors of villages and towns loved one mo of antibiotic, because the level was really limited too to a great extent, as to not in what situations it is not very clear to use antibioticking. " He says, got up last year, supported by international collaborative projects of China and Britain, the international hygiene and centre of development and numerous medical experts inside the province of British London University institute, according to the concrete reality of Zhejiang Province, consult European Union's common antibiotic use guidelines, have made the popular science wall map understood once looking each doctor, and send doctor to the rivers and mountains and instruct the doctor at the basic level how to use medicine rationally regularly. Take up a job as a doctor clear the intersection of lake and the intersection of town and DaoLiang Mao, pediatrician of commune hospital, for many years say hospital most emergency call the child have a fever, oneself see the intersection of child and over 39 of body temperature in the past, will use " the three plain first soup " subconsciously (antibiotic, hormone, vitamin and infusion) ,It is the infusion patient in the hospital at most. Now, after training, finally use antibiotic, know what's what in one's own heart. Popularize in the whole province, probably This international collaborative projects of China and Britain that the rivers and mountains participate in city, it is the only project that the international development administration of Britain implements in China. Including rivers and mountains, there are 10 counties (market) in all in our province Has participated in this international collaborative project, although the implementation focal point of each county is different, but in order to standardize the behavior of making a diagnosis. The city of rivers and mountains " The rural experiment " ,Will you please duplicate to more places? You know, in the whole world, in Zhejiang, antibiotic is abused already to the very urgent condition that must be solved. "The exploration of the city of rivers and mountains, probably popularize in the whole province. " Vice Chief of province department of public health Ma WeiHang says, abusing antibiotic not only has wasted medical resources, have aggravated the contradictions of doctors and patients, will exert a difficult to reverse influence, say, it is actually a kind of crime to abuse antibiotic to a certain extent. For the moment, it is " most severe in the history " that it is known as that Ministry of Public Health is fermenting and issuing a part Antibiotic management. From next month, the department of public health of the province will launch the work of correlated with training in rational administrationing in the hospital at the basic level of the whole province, push into the antibacterial medicine of hospital at the basic level to use rationally. The person in charge of Britain side's project, British London University institute senior researcher Ms. He Lisa, once became a clinician for many years. She says: "In Britain, community's hospital can not buy antibiotic. My two sons and more than ten years old this year, have never used antibiotic because of cold. I believe, such a situation, Zhejiang that will appear soon too, China in the near future. " Antibiotic one " Three no the policy " Deal with bacterium, able to bear medicine, everybody might as well remember following " the three policy " --Do not buy by oneself. Antibiotic prescribed medicine, must go hospital while being sick, must not cold have a fever, buy Antibiotic. Use antibiotic blindly, will only aggravate bacteria and able to bear medicines. Do not require voluntarily. 90% of the colds are not all bacterial infection, and antibiotic can not be restored with higher speed, so needn't demand to prescribe antibiotic to the doctor voluntarily, don't frequently change antibiotic. No medicine will stop at will. Antibiotic has certain course of treatment, once need to use antibiotic, should take medicine on time, until the medicine is eaten up, in order to maintain the enough density in the body of medicine, prevent producing the drug resistance bacterium. Once become effective and stop medicines, symptom recurs and uses medicine again, will make the bacterium produce drug resistance to this kind of medicine. The germ is the first leading killer of mankind the previous existence this life of antibiotic: In the 14th century, plague happens in Europe, 1/3 of the people die of infectious disease. In the 16th century, Spaniards take the variolosus germ to America, special gram's of kingdoms population is reduced by half now in Mexican A In 1928, British bacteriologist Sir Fleming found the blue and green mould that can kill the fatal bacterium in surprise, later he extracted penicillin to make from the blue and green mould into medicines. This is the antibiotic of first that the mankind invented out, because antibiotic mainly uses the face-off bacterium at the beginning, known as antibiotic. Discovery and use of antibiotic taking penicillin as main representative, have opened the new era of human medical science, have saved the life of countless people. Penicillin has cured syphilis and gonorrhoea soon. In 1944, U.S.A. New Jersey university separated out the second kind of antibiotic - -Streptomycin, it has cured infectious disease in millennium of another kind of terrible spreading effectively - -Tuberculosis. In 1945, Fleming was awarded Nobel physiology and medical award. He warns in rewarding and lecture, abusing antimicrobial will bring the question able to bear nature. This prophecy, became reality unfortunately later. 1948, the earliest wide table antibiotic that can kill many kinds of bacteria - -Tetracycline has appeared. At that time, used effectively under the situation that it can not have been made a definite diagnosis of at disease yet, but today, it is basically only used in the domestic animal raising. 1950, American food and medicine administration bureau (FDA) Sanction antibiotic after being used as additive of feed for the first time, the countries all over the world use antibiotic for beasts and birds' raising in succession. Raise the resistance against diseases of strengthening the beasts and birds with antibiotic, promote development, has made enormous contribution for the development of production of animal husbandry. But nowadays, excessively using becoming the most troubling question of animal husbandry of antibiotic. In 1956, the gift came to the company to invent through the ages mouldly and plainly, this was known as the last weapon of antibiotic. Because it sterilizes function, and not apt to induce bacteria to produce and able to bear nature it. But in fact, this is only people's fond dream. Antibacterial medicine and bacterium, just like a pair of " old enemies " . The former holds " The lance " ,Kill the latter, cure and infect; The latter makes " The shield " ,Redeem oneself, exempt from exterminating a family. The two attack keeping, it is raw to counteract. While offending and defending, antibiotic is updating constantly, the price of medicines soars successively too, and to able to bear nature bacterium, exercise and improve in the actual combat too. In 1997, it is able to bear nature to abuse the bacterium that caused to antibiotic, the U.S. government issued the regulation, require and instruct the doctor to use antibiotic rationally. Later, as World Health Organization and countries all over the world began to appeal for one after another, it is able to bear nature to watch out for bacteria. In 2003, Ministry of Public Health of our country issued management too, required and instructed the medical worker to use antibiotic rationally. On April 7, 2011, the 62nd World Hygiene Day, World Health Organization sends out the warning to the whole world again: "Resist antibiotic and is able to bear nature: If do not take action today, will not have medicine that can be used tomorrow " . This is not sensationalism definitely. Here in this winter of the past just now, one was connected with the most advanced antibiotic (namely antibiotic) The ones that can't be dealt with " The super bacterium " Already let a lot of people color for it be changed. And its appearance, just because of the abuse of antibiotic. Today, the beautiful era of antibiotic is going far gradually. Met us, it was antibiotic that abuses severe challenges brought.

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