Jinghua times dispatch (reporter Li Qiumeng), Ministry of health professor Xiao, head of national bacterial resistance surveillance network says, aiming at doctors experience drug situation, China has embarked on the development of antimicrobial management schemes in the health sector.
The domestic reports of two cases of infants carrying case NDM-1 Enterococcus faecium, infection is likely to be in hospital environments, suggesting that such resistance genes may be generated in the course of our administration.
Xiao said, “Super bacteria” event has caused has national for antibiotics using of concern, currently, Ministry of health is developed antibacterial drug management approach, established reasonable using antibacterial drug of science system, will on clinical antibiotics of using for specification and strengthened, while, on hospital using of drug in the, antibiotics class drug by accounted for of proportions for qualified, “many doctor will in patients no any needs using antibiotics of situation Xia, unauthorized using antibiotics, this approach introduced Hou, on will has clear of specification, Is mandatory, and serve as a warning to the doctor “.
Xiao said, antibiotics in China not reasonable using of situation is serious, according to who organization of provides, in 100 a hospital patients in the, using antibiotics of number ceiling for 30 people, and China is is 70 a people in with, than who loose of standard high out has twice times more; on using of dose for, 100 a hospital patients daily with antibiotics not should over 40 copies, but China has reached has 80 copies.
According to statistics released by the Ministry of health annual report, hospital patients, only 10% people because of a bacterial infection and nosocomial infections, surgical prophylaxis, 30% left and need treatment with antibiotics, but the clinic has reached 70%.
Direct consequences of the improper use of antibiotics was drug-resistant, with patients infected with Escherichia coli as an example, if bacteria cause, treatment involves a 5000 Yuan, mortality is 5%, but if drug-resistant bacteria, the mortality rate will rise to between 10% and 15%, spending will reach 15,000.
Dialog
Incidence of Superbug’s global trends? Its appearance should arouse public awareness of the use of antibiotics? On relevant issues, the WHO Regional Office for the Western Pacific Dr long DeanShuey antibiotic drug resistance working group answering reporters ‘ questions.
Do not use antibiotic treatment of flu and other ailments
Question 1
Reporter: has been the global spread of Superbugs?
Dr DeanShuey: we do not know the extent of the spread of, because many countries do not or doesn’t have the capacity to check the gene. As of mid-September, bacteria of this gene has been found to contain the following States: Australia, Bangladesh, Canada, China, India, Pakistan and the United States. Almost certainly, there will be more countries with this type of case.
Question 2
Reporter: how dangerous Superbug?
Dr DeanShuey: once showed signs of resistance to antibiotics, will be worrying. Also, if patients infected with bacteria resistant to multiple antibiotics, treatment is very difficult. But there are still one or two antibiotics may be effective, so while dealing with multi-drug resistant bacteria is difficult, to a certain extent is still treatable. As far as we know, in China there is no deaths as a direct result of superbugs. Superbug is indeed a serious problem that could be life-threatening.
Dr DeanShuey: the emergence of multidrug-resistant bacteria is not news.
Antibiotics were discovered more than 60 years ago, after decades of problems caused by multidrug-resistant bacteria begins, now the problem is getting worse. More bacteria begin to develop resistance, while frequency of finding new antibiotics is slowing.
All countries, including China, are facing the problem of bacterial resistance.
Question 3
Reporter: what are the root causes of the problem? What kind of measures should be taken?
Dr DeanShuey: who makes the following recommendations to Member States: first of all, develop a comprehensive national plan explicitly control responsible for antibiotic resistance unit. Through the establishment of effective disease surveillance and laboratory systems, improve the units ability to detect and monitor the problem of antibiotic resistance. Also, encourage rational use of antibiotics in high quality livestock for meat industry and human health sectors. Because these two areas of antibiotic misuse or improper use, forming the main cause of antibiotic resistance.
The following steps should be taken: to evolve a system so that antibiotic available by prescription for medical professionals only, and not as non-prescription drugs, encouragement of public service throughout the course of prescription antibiotics, not better, which will stop taking, also do not use antibiotics for viral infections and the common flu and other ailments.
Eliminate fake and shoddy drugs. Cancellation of bad incentives, medical personnel and medical care institutions do not have to medicine. To monitor the use of antibiotics in livestock for meat to prevent improper use.
We believe that communities and health institutions should be encouraged to prevent and control infection, encourage research, optimize existing application of antibiotics and diagnostic tools, while encouraging the discovery of new antibiotics and diagnostic tools.
Despite these measures, may not be able to completely eliminate the problem of antibiotic resistance, but can reduce the severity of the problem. If we don’t take action, bacterial infections will one day become almost impossible to cure.
