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On further strengthening the notice for the management of clinical application of antimicrobial agents

2015年08月28日

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On further strengthening the notice for the management of clinical application of antimicrobial agents

 

The national health and family planning commission of the People's Republic of China

The 2015-08-27

Countries who do medical hair [2015] no. 42

 

Provinces, autonomous regions and municipalities directly under the central government health and family planning commission, the administration of traditional Chinese medicine, the xinjiang production and construction corps health bureau:

For the implementation of deepening the reform of medical health system and further improve the medical service action plan "the relevant requirements, standardize the clinical application of antibacterial drugs, guarantee medical quality and safety, we will further strengthen clinical application of antibacterial drugs management work put forward the following requirements:

A, strictly implement the relevant clinical application of antibacterial drugs management regulations

Around to strictly implement the "regulations on the administration of medical institutions", "prescription management method", "pharmaceutical affairs management regulation of medical institution", "clinical application of antibacterial drugs management method", "hospital prescription review management standard (trial)" and other rules and regulations, strengthen the management of antimicrobial agents. All medical institutions to implement the antibacterial drug management responsibility, improve the antibacterial drug management institutions, clear responsibility, improve the system of work, detailed work process, varieties of antibacterial drugs, the rules of the selection, purchase, prescribing, dispensing, clinical application and evaluation process each link such as management and monitoring. Encourage local reference to the management mode of "negative list" innovation mode, continuously improve the management level of clinical application of antibacterial drugs.

Second, strengthening the comprehensive management of clinical application of antibacterial drugs

Around the family planning administrative department of public health, management of traditional Chinese medicine and medical organizations to organize well the clinical application of antibacterial drugs guidelines (2015 edition) "propaganda, the training work, improve the ability of medical staff reasonable application of antimicrobial agents. To strengthen the education of medical ethics, build the wind qing qi is the practice of atmosphere; To establish a scientific and reasonable allocation, performance rewards and punishment system, improve the medical staff enthusiasm and initiative of reasonable application of antimicrobial agents. Medical institutions shall establish improve the number of antimicrobial agents varieties, the strength of antimicrobial drug use, type I incision operation of proportion of preventive use of antimicrobial agents, microbial inspection rate control index, and strictly implement. Where the family planning administrative department of public health at various levels shall, in accordance with the evaluation index and the clinical application of antibacterial drugs management requirements (see attachment) for medical institutions for inspection, evaluation and examination.

Third, practical and antimicrobial prescription comment on job

2 above is organizing a medicine, pharmacy, clinical microbiology, medical institutions, medical management, and other multi-disciplinary, multi-sectoral technical and management personnel for antimicrobial prescription (orders) special spot. Emphasis on infectious diseases department, such as surgery, respiratory, intensive medicine clinical departments and type I incision operation cases and interventional diagnosis and treatment. For problems found during the review to track management and intervention, to achieve continuous improvement. At the same time, the review results as a department and medical personnel ChuFangQuan granted and the important basis of performance appraisal. For antimicrobial supernormal prescription 3 or more times and, without any justified reason, doctors warned that limit its special use ChuFangQuan and restrict the use of antibacterial drugs; After limiting ChuFangQuan, still appear superior prescription and without justifiable reasons, cancel its ChuFangQuan antibacterial drugs, and may not recover within six months. Grassroots medical institutions should refer to the above requirements, combined with the actual effective antimicrobial prescription check management work.

Four, perfect technical support system for reasonable application of antimicrobial drugs

Second class above medical institutions should strengthen the construction of infectious diseases department, continuously improve the ability of bacteria and fungi, the diagnosis and treatment of infectious diseases. Infectious diseases department shall attend all kinds of complicated infectious diseases hospital, including bacterial infections, consultation, participation in hospital infection control and clinical application of antibacterial drugs management. To take comprehensive measures to improve the quality of microbiological specimens, increase the inspection ratio, guarantee the accuracy of the test results, and on the basis of clinical specimens of microbial test results reasonable selection and adjustment of antimicrobial agents. Must strengthen the construction and the cultivation of pharmacists and pharmacy department improve pharmacists prescription audit and intervention capabilities, prescription reviews and extra early warning ability, as well as participation in infectious disease, drug treatment and clinical medicine technical support ability. Should actively organize the popular science knowledge propaganda and education work, creating the atmosphere of reasonable application of antibacterial drugs, improve the masses of the understanding of the antibacterial drugs, set up correct concept of medication. Conditional grassroots medical institutions should refer to the above requirements, in order to strengthen the management of antimicrobial application supporting system with the actual construction. The family planning administrative department of public health at various levels shall organize to do relevant training, missionary work, a medical institution shall organize relevant personnel to actively take part in.

Five, the clinical application of antibacterial drug monitoring and bacterial drug resistance monitoring

More than secondary medical institutions and the conditional grassroots medical institutions should consult the national clinical application of antibacterial drugs monitoring technology plan and the national bacterial drug resistance monitoring technology plan (who do medical ZhengFa [2012] no. 72), to formulate the corresponding monitoring scheme. To clear the responsibility department, fully by means of information technology, focusing on antimicrobial usage, the intensity and the change trend, gram positive and negative bacilli resistant situation, trend and the rationality of antimicrobial usage monitoring and evaluation. Regularly publish monitoring results, published in time according to the monitoring results related to early warning information, to guide clinical varieties selection and use of antimicrobial drugs. Conditional, medical institutions should take part in clinical application of antibacterial drugs surveillance network and bacterial drug resistance monitoring network data monitoring, and make sure the report the monitoring data is truthful and accurate.

Six, intensify inspection guidance and the public

Local health administrative departments of family planning and management of traditional Chinese medicine department should strengthen the guidance for the management of clinical application of antibacterial drugs within their respective jurisdictions and check. To supervise and urge medical institutions established in accordance with the requirements management system, to carry out the job responsibility. To take advantage of all kinds of ways to collect medical institutions antimicrobial usage, usage, and use data and information, such as the strength, and the public in the industry. At work, want to notice to discover rational clinical application of antibacterial drugs, high management level of advanced and typical experience, summarized earnestly, intensify propaganda and promotion. Encouraging local and medical institutions to explore innovative management system and mechanism, promote management system constantly improve antibacterial drugs. For lack of antibacterial drug management, in violation of relevant regulations, and there are serious problems of medical institutions, want to talk to their principal heads in the commandments, supervise and urge the rectification, track, review for rectification implementation does not reach the designated position, shall be investigated for the responsibility of the relevant persons responsible to serious. National health and family planning commission of the state administration of traditional Chinese medicine will jointly timely organization of local family planning administrative department of public health, management of traditional Chinese medicine medical institutions, when conducting supervision and inspection.

Attachment: clinical application of antibacterial drugs management evaluation index and requirements. Docx

General office of national health and family planning commission The state administration of traditional Chinese medicine office

On July 24, 2015