Tuesday, July 10, 2012

The pressure of curative effect profit lure " Raise " Antibiotic

The pressure of curative effect, profit lure " Raise " Antibiotic
4 cold patients, 3 are using antibiotic; The operations patients nearly 100% all use antibiotic before the skill; 80% of the infective disease patients, in fact it is all unnecessary to use antibiotic. It is so serious to abuse the current situation, what reason cause?
" I do not open, the patient says I cure the not good disease "
The reporter hears such a story in the hospital of Tongji University:
Respiratory medicine one old doctor meet, examine one have a fever 38 degree about father, the doctor makes a definite diagnosis of the father just ordinary virus to infect through the blood routine examination, then not prescribe antipyretic, has only prescribed any Chinese medicines against virus. The father had doubt at that time, after doctors explained, he has gone home holding medicines. In the afternoon of the next day, the son was bringing father to the hospital, fathers have been already 39 degrees of high fevers at this moment, the son is very angry, interrogate a doctor: "The expert, even not good that one has a fever and sees! "
The expert of department of the Chinese Academy of Sciences of medicine of hospital of Tongji University Ding YuFeng explains, it is a course of development to infect, generally speaking, the virus is not infected and control well, will continue the bacterial infection of hair two or three days later, it seldom has specific drug that antiviral, the general patient passes one's own resistance (immunological function) It is antiviral that in fact too Yes to succeed. In this case, it is right that doctors do not prescribe antibiotic.
However, a lot of doctors, in order to prevent the patient after two or three days from not taking a favorable turn because of the condition to " find fault " ,Or worry about the operation patient accidents happened to, " for the sake of assurance " ,Have used antibiotic ahead of time.
Then, if inflammation has appeared in normal cases, how to treat?
Wuhan the intersection of city and first director of hospital pediatrics Hui Xu wait for many persons of expert say inflammation mean organize having inflammation just, it may be that the virus is infected, it may be the bacterial infection too. If confirm it is the virus that is infected after having a blood test, can well not use antibiotic; If have a blood test to confirm it is the bacterial infection, need to prescribe antibiotic.
Before prescribing antibiotic, according to the normal procedure, should do bacteria to train first, confirmed which kind of bacterial infection it is, but the bacterium is various in style, if the doctor judges accurately, often only need to measure one or two kinds, if the doctor judges inaccurately, will demand to check much one, thus it is expensive to cause and check the fee. Once a patient had spent hundreds of yuan making bacteria to train, was only prescribed antibiotic at more than ten yuan finally, the patient does not quite understand, say the doctor opens and checks singly arbitrarily for this.
In addition, it takes two or three days the bacterium at least for, in order to reach curative effect fast, a lot of doctors would rather choose antibiotic of wide table, or it is preventative to carry on and use medicine, out-of-range and heavy dose of and use medicine.

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