The Abuse Of Antibiotics In China Is Generally &Nbsp; Serious Harm Needs Urgent Legal Regulation.

Prevent

A few days ago, two children were exposed to superbug NDM-1 in Ningxia, which quickly aroused heated debate in the community about the topic of antibiotic abuse.

China has become the most widely used country in the world. It is also one of the countries with the most serious abuse of antibiotics, and even in food and feed there are antibiotics.

The abuse of antibiotics is widespread.

The survey shows that the utilization rate of antibiotics among Chinese inpatients is 56%, of which the highest is nearly 99%, while the foreign average is 30%.

Domestic abuse of antibiotics by advertisements, such as random purchase of drugs, no prescription drugs, no indication of medication, frequent replacement of antibiotics, too long course of treatment, and so on, commonly exist.

At the same time, driven by economic interests, doctors are happy to use the latest and the most advanced antibiotics for patients, and the patients are also willing to use the new broad-spectrum antibiotics recommended by doctors because of their "immediate results and curative effects". The result is that patients suffer from "high drug fee" and produce "high drug resistance".

The stronger the drug resistance, the higher the infection rate and mortality rate.

That is to say, if you are infected with drug-resistant bacteria, the chance of death is increased, and it is very likely that "no medicine can cure".

Experts estimate that in 2005, hundreds of thousands of people died of antibiotic resistant bacterial infection in China.

In terms of food safety, if the abuse of antibiotics is not restricted, the "antibiotic contaminated" food will seriously damage the national health and reduce the national quality.

At present, the application of antibiotics in aquaculture is also widespread. These drugs are not used to treat sick animals, but are used to prevent animals from getting sick and feed to promote animal growth. This practice has reached a consensus in the livestock industry.

The result is antibiotics in the air and soil around the farm, surface water and ground water, retail meat and eggs, and even wildlife.

The residues of these antibiotics can enter the body and accumulate through various channels. It will not only cause organ lesions, but also turn the human body into a small environment for cultivating "super bacteria".

Medical experts point out that many patients with "super bacteria" have neither infectious history nor hospital. The cause of the disease is probably related to the abuse of antibiotics in food.

Learn from foreign countries and implement strict regulations

The discovery and application of antibiotics have opened up a new era for human beings to fight infectious diseases.

However, the abuse of antibiotics has also brought people a lot of trouble, such as the increase of bacterial resistance, the sharp decrease in the effectiveness of antibiotics, and the rise in medical costs.

At present, many countries have adopted strict restrictions and control systems for the use of antibiotics to prevent the abuse of antibiotics.

First, antibiotics prescription drug control system.

Antibiotics are strictly defined as prescription drugs in foreign countries. They must be prescribed by licensed doctors and used legally. They should not be sold as a non prescription drug to the public in a drugstore, otherwise they will be liable to high fines and civil or even criminal liabilities.

Two, the control system of antibiotic usage.

Only when the patient has serious infection symptoms after the bacterial sensitivity test, and the doctor thinks that it is necessary to use it, can he prescribe antibiotics for the doctor, and the information on the basis, dosage, course of treatment, the number of days of using the same antibiotic is required.

In addition, it must be approved by medical staff, and finally approved by the pharmacies. It emphasizes the use of antibiotics in terms of indication, pertinence and program, and the application procedure is very strict.

Three, the low use of antibiotics is not high.

In the case of antibiotics, patients are usually not allowed to directly use the most advanced antibiotics (such as the fourth generation cephalosporins), but first use low side antibiotic drugs with lower side effects.

In particular, strict control of the toxicity of drugs has been used as vancomycin in the last line of defense for the treatment of drug-resistant gram positive bacteria.

Four, the control system of antibiotics to prevent infectious use.

Although antibiotics are the basic path to prevent infection, in order to reduce the use of antibiotics, the principle of "heavy process control, light drug prevention" is adopted to prevent infection, the process control of medical behavior is strengthened, the opportunity of medical infection is reduced, and cross infection is strictly controlled.

Five, the livestock industry has totally banned the antibiotic system.

The European Union has banned the use of any antibiotics in feed in January 2006. This is the most stringent measure in the world to protect food safety from the source of food to prevent the spread of antibiotic residues into the human body.

It is precisely because of the strict control of the use of antibiotics in terms of systems and procedures that the abuse of antibiotics has been effectively controlled within a certain range, and the method is worthy of our reference.

Monitoring the use of antibiotics urgently needs to be standardized.

The use of antibiotics in foreign countries has been strictly controlled. It is gradually realized that the use of antibiotic drugs is not restricted, which will bring disastrous consequences to human medicine and food safety. Recently, the emergence of "super bacteria" has raised alarm for the abuse of antibiotics by human beings.

In our current drug administration law, we only carry out special management of narcotic drugs, psychotropic substances, toxic and radioactive drugs and imported radiopharmaceuticals. That is what we often call restrictive management, such as narcotic drugs such as people familiar with narcotic drugs, morphine, etc. psychotropic drugs, such as dulanding, diazepam, and so on, are strictly controlled. However, antibiotics do not belong to the above control drugs, and sales and use of antibiotics are not strictly restricted and controlled.

It should be said that the current regulations on the administration of drugs and food in China are related to the use of antibiotics, but these Provisions are mainly limited to the internal regulations of the health sector and the operation process of antimicrobial drugs used in hospital management. From the perspective of the legal efficacy level, the upper order is relatively low, and the force and punishment intensity of the law are relatively weak.

It is never too late to mend.

After gradually realizing that the abuse of antibiotics is seriously endangered, we should learn from some countries' experience in control and management of antibiotics, and put antibiotics in the special management category in the field of drug control, intensify the control and supervision of antibiotics, strictly limit the use of antibiotics in the breeding industry, strengthen the detection and tracking of antibiotic residues in food, and intensify the enforcement and punishment of illegal acts of abusing antibiotics.