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Medical network on March 6 - who planning commission issued 2017 pipe resistance, the carbon blue enzyme alkenes and key request for add ring element.
Key requirements:
- all kinds of medical institutions at all levels should be formulated in accordance with the requirements of this institution antibacterial drug supply catalog, physicians use antimicrobial prescription authority at all levels, and will develop antibacterial drug supply directory report issued by the license of medical institution "of the family planning administrative department of public health for the record. Work has not been completed in accordance with the requirements for the record shall be completed within one month after receiving this notice.
- when making antibacterial drug supply catalog, to strictly implement the varieties, quality rules requirements, including carbon penicillium alkene antimicrobial drugs injection dosage forms the strict control in the three products within the rules.
- it should be adjusted according to the regulation of antimicrobial drug supply catalog, adjust the cycle for 2 years in principle, the shortest not less than 1 year, and adjust the directory within 15 days after the report issued by the license of medical institution "of the family planning administrative department of public health for the record.
- to strengthen carbon penicillium alkene antimicrobial and add ring element for special use level of antimicrobial agents such as management.
- special use level of antimicrobial agents must have appropriate permissions doctors prescription, and the clinical experience with anti-infection after infection or related specialists agree, just can use.
Without the consent of the consultation - emergency or required to be used more prescription permissions, 1 shall not exceed the prescribed dosage, and make relevant medical records.
- the clinic level shall be used for special use of antimicrobial agents.
- take special use level of antimicrobial drug treatment of hospitalized patients of antimicrobial agents before using microbial inspection rate of not less than 80%.
- since the date of the paper printing, on carbon penicillium alkene antimicrobial drugs and for adding ring element grades and special use of antimicrobial agents first implementation of file management. Various clinical departments use carbon penicillium alkene antimicrobial drugs and for adding ring element, to fill in the information as requested.
General office of the national health and family planning commission on further strengthen the management of clinical application of antibacterial drugs contain bacteria resistant to inform
Release date: 2017-03-03
Countries who do medical hair [2017] 10
Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the xinjiang production and construction corps health bureau:
To carry out the "healthy China 2030" planning outline "and" containing bacteria resistant national action plan (2016-2020) "the relevant requirements, further strengthen the management of clinical application of antibacterial drugs, contain bacteria resistance, for clinical application of antibacterial drugs management there is still a weak link, put forward the following requirements:
A, attaches great importance to the clinical application of antibacterial drugs management work
At present, the bacterial drug resistance has become a major global public health challenges, and governments and the social widespread attention worldwide problems. Hangzhou's G20 summit in 2016, bacterial drug resistance was placed on the main issues, and writing of the final communique; On the 71th United Nations general assembly, the countries all over the world to the problem of bacterial resistance are discussed, the fourth health issue in the United Nations general assembly to discuss history. Bacterial resistance has expanded from health to political and economic fields. Family planning administrative department of public health at all levels and all kinds of medical institutions at all levels should start from the overall situation, from the political, economic impact, protecting the health of the people and building a well-off society in perspective, attaches great importance to the clinical application of antibacterial drugs management, further completes the related work.
Second, strictly carries out the clinical application of antibacterial drugs management related requirements
Family planning administrative department of public health at various levels and of various kinds of medical institutions at all levels should be in strict accordance with the pharmaceutical administration law, "pharmaceutical affairs management regulation of medical institution", "clinical application of antibacterial drugs management method", "prescription management method" and "hospital prescription review management standard (trial)" and other relevant provisions, the full implementation of antibacterial drug management requirements. To strengthen the construction of relevant disciplines, train more talents especially anti-infection professional clinical pharmacists, improve clinical pharmaceutical professional management level. We will strictly implement antibacterial drug classification management and prescription permissions management. Institutions are formulated the various medical institutions at various levels shall, in accordance with the requirements of antibacterial drug supply catalog, physicians use antimicrobial prescription authority at all levels, and will develop antibacterial drug supply directory report issued by the license of medical institution "of the family planning administrative department of public health for the record. Work has not been completed in accordance with the requirements for the record shall be completed within one month after receiving this notice. When making antibacterial drug supply catalog, to strictly implement the varieties, quality rules requirements, including carbon penicillium alkene antimicrobial drug injection dosage form strict control in three rules. Directory to adjustment in accordance with the relevant provisions of antimicrobial drug supply, adjust the cycle for 2 years in principle, the shortest not less than 1 year, and adjust in the directory within 15 days after the report issued by the license of medical institution "of the family planning administrative department of public health for the record.
Three, to strengthen the construction of clinical application of antibacterial drugs management technology support system
The family planning administrative department of public health and medical institutions at all levels should strengthen infection, clinical microbiological and clinical pharmacy discipline construction, gradually establish a diagnosis and treatment of infectious diseases, refractory disease consultation, hospital infection control, antimicrobial application management, and other related contents of diagnosis and treatment system, and in the clinical application of antibacterial drugs management play an important role. To strengthen medical personnel training, carry out the national formulary, the clinical application of antibacterial drugs guidelines (2015 edition) ", "national antimicrobial treatment guidelines" and so on, and the clinical application of antibacterial drugs management and work effectively in combination with clinical pathway management, clinical pathway in regulating the behavior of diagnosis and treatment, the role of work to promote rational drug use. To increase physicians, pharmacists, microbial inspection personnel and management personnel training, improve the rational use of antimicrobial agents of technology and management ability. Must strengthen the information construction of medical institutions, develop information technology technical support on the management of clinical application of antibacterial drugs.
Fourth, to strengthen the clinical application of antibacterial drugs and the bacterial drug resistance monitoring and evaluation
The family planning administrative department of public health at all levels and all kinds of medical institutions at all levels to strengthen the clinical application of antibacterial drugs and bacterial drug resistance monitoring, encourage conditional medical institutions to join the corresponding clinical application of antibacterial drugs monitoring network and bacterial drug resistance monitoring network. To timely understand or medical institutions within their respective jurisdictions in clinical application of antibacterial drugs and bacteria resistant, regular management work for clinical application of antibacterial drugs and bacteria resistant to evaluate situation. According to the monitoring results, in accordance with the relevant requirements gradually establish a perfect the clinical application of antibacterial drugs and bacteria resistant early warning mechanism. The problems discovered in the process of monitoring and evaluation, to take targeted and effective measures. Monitoring, evaluation results within a certain range to open. For lack of work and problems of the family planning administrative department of public health and medical institutions or clinical departments to co-ordinate criticism, admonishing the conversation is mainly responsible for comrades. Found in the process of monitoring and evaluation, and ascertained that the medical workers are in violation of the "nine" is not allowed, exist the problem of medical ethics, should be handled in accordance with the law in accordance with the rules seriously.
Five, strengthening the management of clinical application of antibacterial drugs mainly
The family planning administrative department of public health at all levels and all kinds of medical institutions at all levels should be aimed at the prominent problems in clinical application of antibacterial drugs management, strengthening the management of key. To strengthen prevention using intravenous antimicrobial agents, combined use and management, to strengthen carbon penicillium alkene antimicrobial and add ring element for special use antimicrobial drugs management. Special use level of antimicrobial agents must have appropriate permissions doctors prescription, and the clinical experience with anti-infection after infection or related specialists agree, just can use. In an emergency without the consent of the consultation or required to be used more prescription permission, shall not exceed the prescribed dosage of 1, and keep relevant records record. Outpatient service level shall be used for special use of antimicrobial agents. Special use level of antimicrobial drug treatment of hospitalized patients of antimicrobial agents before using microbial inspection rate of not less than 80%. Since the date of the paper printing, on carbon penicillium alkene antimicrobial drugs and for adding ring element grades and special use of antimicrobial agents first implementation of file management. Various clinical departments use carbon penicillium alkene antimicrobial drugs and for adding ring element, to fill in the information as requested. Medical institutions should assign a regular collection, summary this unit carbon penicillium alkene antimicrobial drugs and for adding ring element usage information table (see attachment 1), and carries on the analysis, take targeted measures to effectively control the carbon penicillium alkene antimicrobial drugs and for ring resistance. Of 2 class above grassroots medical institutions and medical institutions, the clinical use of antimicrobial agents, use level is high, easy to cause problems of intensive care unit (ICU), neonatal room, onset ward, respiratory ward, neurological ward, burn ward and other departments, should strengthen the management of antimicrobial agents.
Sixth, strengthen the supervision inspection and application of the results
The family planning administrative department of public health at all levels and all kinds of medical institutions at all levels should strengthen the clinical application of antibacterial drugs for the management of daily supervision and regular supervision inspection, in principle, of not less than 2 times a year. To the clinical management of antimicrobial agents in large hospital inspection, improve medical service operations and other related work. Through the supervision inspection, and constantly improve the management level of clinical application of antibacterial drugs, effectively curb bacterial drug resistance. To supervise the inspection found not in accordance with the relevant requirements, the problems in the implementation of the family planning administrative department of health or medical institutions, to be criticized, the medical institution to cancel the qualification of a cycle of review or the inspection result.
Seven, clear responsibility departments and persons responsible
Local family planning administrative department of public health at all levels and all kinds of medical institutions at all levels should be clear this unit the responsibility of the clinical application of antibacterial drugs management departments and persons responsible (see attachment 2), in principle, the responsibility department is mainly responsible for comrades for those responsible. Responsible departments of medical institutions and those responsible for information, to issue the "practice license of medical institution" of the family planning administrative department of public health; The responsibility of the family planning administrative department of public health departments and those responsible for information, the higher the family planning administrative department of public health. Clear responsibility department and those responsible should be completed within a month after receiving this notice. Responsible departments and persons responsible should earnestly perform their duties, to promote clinical rational use of antimicrobial drugs, effectively curb bacterial drug resistance.
Attachment:
1. Medical institutions penicillium carbon alkene antimicrobial agents and for ring element usage information list
2. The clinical application of antibacterial drugs information table of management responsibility department and responsible persons
General office of national health and family planning commission
On February 27, 2017
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