Thursday, December 27, 2012

Who supervises antibiotic to abuse on earth

Who supervises antibiotic to abuse on earth
As one clinician, one thing that I meet make what I experience whether antibiotic abuse.My mother coughs, sends low fever some these days, seek medical advice in a clinic of private hospital that went, infuse for 3 days continuously. She thinks, sees the doctor and saves money than the large hospitals of the public there. She phones me when infusing, I have a phone convesation with her doctor in charge by the way. This doctor tells me, . This makes me feel unusually startled, I exhort mother, do not go to that medical organization to seek medical advice later. Because this is a medical behavior of violation of a kind of very typical abuse antibiotic, it is able to bear medicines that it is very apt to cause, the great medical potential safety hazard exists to the health too. But she tells me, because that clinic seems curative effect is obvious, it is relatively cheap to charge, so pack the person seeing the doctor every day.Then, I have asked the counterparts of several medical organizations, their view is unanimous: Under such fierce realistic environment of the medical market competition, the behavior that this kind of antibiotic is abused has suitable universality, still not merely appear in the private medical organization, the public medical organizations of much basic unit have a similar problem too. For example, the media reports, one hospital surgery uses 5 kinds of antibiotic to a cholecystitis patient in 7 days, some medicines only use for one day to change dressings.I find some relevant data too, disease classify investigate according to 1995- 2007 year, China infective disease account for, have illness coming on 49% that count always by all disease, the intersection of bacterium and infection account for all 18%- 21% of disease among them. That is to say, the patient who really needs to use antibiotic is less than 20%, more than 80% abuse antibiotic. Our country because antibiotic abuses leading to the fact the hospitalization cost of 80 billion yuan increases every year, cause the bad reaction death of 80,000 patients at the same time. Our country probably takes 10 years developing a kind of antibiotic, but it is able to bear the medicine fungus plainly within two years to emerge, will face lacking the terrible trend of effective antibiotic in the future.A common understanding of the health care circle is, so Chinese antibiotic is abused in the medical organization at present, this kind of behavior is mainly still a need of starting from the economic benefits. But basic reason, lie in system defect, supervision do one's best. I think a more important reason lies in, supervise the subject indeterminately, supervision responsibility is not accurate. Whether the medical organization uses antibiotic to often depend on containing by oneself rationally, but social work is told us, so long as there is enticement of economic benefits and drive, the rationality and proper of all social behaviors can not be through " contain by oneself " This route was reached with the way. In developed countries such as America and Europe,etc., it is very difficult to buy antibiotic, antibiotic is seldom used, how to contain by oneself because of their medical organization and doctor, important one factor lie in the intersection of government department and supervision and punish efforts, be put in place enough in it.Will expedite the emergence of the phenomenon that antibiotic is abused in the face of the present economic benefits, a very urgent thing is, medicine supervises and should divide the work clearly, improve the hygiene supervision regulation of stopping abusing antibiotic in the relevant hygiene administrative department, bear supervision responsibility, devote more efforts to using antibiotic to breaking the law in violation of rules and regulations the law enforcement behavioral in medical treatment to supervise and punish, messy and alike from managing and managing the public society of the health of this kind of danger on the channel.Guangdong Wu Shuai
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