Ministry of Health issued stricter antibacterial drug application indicators

A few days ago, the General Office of the Ministry of Health issued a notice to continue in-depth implementation of national special anti-bacterial drug application activities. Compared with last year, this year's special rectification activities also set clear requirements for the number of purchased product specifications and the application of antibacterial drugs in specialty hospitals. The notification also made it clear that seven kinds of Class I incisions such as inguinal herniorrhaphy (including patch repair) do not prevent the use of antibiotics in principle.

According to the notice, the number of antibacterial drugs in oral hospitals should not exceed 35 in principle. In principle, the number of antibacterial drugs in oncology hospitals should not exceed 35. In principle, the number of antibacterial drugs in children's hospitals should not exceed 50. In principle, the number of antibacterial drugs in psychiatric hospitals should not exceed 10 types. The number of antibacterial drugs in maternity hospitals (including maternal and child care hospitals) shall not exceed 40 in principle. The antibacterial drug use rate of these five types of specialist hospitals has a specific requirement for the intensity of antibacterial drug prescription for outpatient and emergency patients. In addition, the notification on the use of antibacterial drugs in general hospitals this year increased the requirement that the proportion of antibiotics for emergency patients be no more than 40%.

Class I incision surgery to prevent the use of antimicrobial drugs is difficult. The notice states that the proportion of antibacterial drugs to be used in patients undergoing type I incision should not exceed 30%. Among them, inguinal hernia repair (including patch repair) thyroid disease surgery breast disease surgery arthroscopy surgical carotid endarterectomy surgical skull cranial mass Patients undergoing surgical resection and transvascular access should not, in principle, prevent the use of antibiotics. The use of antibiotics for type I incisions should not exceed 24 hours.

The notification also requires that medical institutions accept in-patients with restricted use of antibacterial drugs to treat inpatients with no more than 50% microbiological examination samples before the use of antibacterial drugs; hospitalized patients receiving special use-grade antibacterial drugs should be submitted before the use of antimicrobials. Not less than 80%. To warn physicians who have unusually prescribed antibacterial drugs more than three times and have no justifiable reason to limit their special use level and limit the use of antibacterial drug prescription rights; after restricting the prescription rights, they still have unusual prescriptions and have no legitimate reason to cancel their antibacterial drugs. Drug prescription rights. If a pharmacist fails to comply with regulations to review antibiotic prescriptions and prescriptions for medical use, causing serious consequences, or if he finds that the prescription is not suitable for an abnormal prescription and there is no intervention and there is no justification, the medical institution shall cancel his eligibility for drug distribution. After the physician's prescribing rights and pharmacist drug dispensing qualifications are cancelled, they cannot be restored within 6 months.