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自抗生素问世以来,感染性疾病的防治取得了重大突破。绝大多数的感染性疾病由于抗生素的应用而得到了有效控制,有些感染性疾病也随之销声匿迹。然而,当人们还沉迷于抗生素的神奇功效而不加限制地滥用之际,却在不知不觉中导致了另一个问题的出现。近几十年来,由于抗生素万能论以及商业利益的驱动,人们对于抗生素的依赖和滥用已经成为世纪难题。21世纪人类将面临三大病原微生物的威胁:耐多药的结核菌、艾滋病病毒、医院感染的耐药菌株,其中耐药菌的发展速度令人触目惊心,其原因就是滥用抗生素。近年来,一方面由于患者的文化水平有所提高,初步懂得一些药物应用的知识,另一方面现在的各种新闻媒体对各类药物广告亦进行大力宣传,对药品的使用起着导向作用,出现了患者点名要药现象,从某种程度上干扰了医生的总体思路,再加之医院的各种指标承包形式,药品回扣的诱惑,在一定意义上激发了广大医务工作者创收的积极性,鉴于上述一系列原因,给临床合理用药造成了一定的影响,导致种种用药误区的出现,即出现了人们所说的“抗生素医生”、“青霉素医生”。带着这些问题,本人对本院2007年1月份~5月份的2230张门诊处方进行了统计分析。
Since the advent of antibiotics, prevention and treatment of infectious diseases have made major breakthroughs. The vast majority of infectious diseases have been effectively controlled by antibiotics and some infectious diseases have disappeared. However, when people addicted to the magical effects of antibiotics and abused without restriction, they unconsciously lead to the emergence of another problem. In recent decades, people’s dependence on and abuse of antibiotics has become a century-long problem due to the antibiotic theory and the commercial interests. The 21st century human beings will face the threat of three major pathogenic microorganisms: multidrug-resistant Mycobacterium tuberculosis, HIV, drug-resistant strains of hospitals, where the development of resistant bacteria is staggering, the reason is the abuse of antibiotics. In recent years, on the one hand, the patient’s cultural level has been improved, and some knowledge of drug application has been initially understood. On the other hand, various news media now vigorously publicize various drug advertisements and play a guiding role in the use of drugs. The emergence of the patient name to drug phenomenon, to a certain extent, interfere with the doctor’s general train of thought, coupled with various indicators of hospital contracting forms, the temptation of drug rebates, in a certain sense, inspired the enthusiasm of the majority of medical workers to generate revenue, given The above series of reasons, to the clinical rational use of drugs caused some impact, leading to the emergence of misunderstandings of all kinds of drugs, that is, what people call “antibiotic doctors”, “penicillin doctors.” With these questions, I conducted a statistical analysis of 2,230 outpatient prescriptions in our hospital from January 2007 to May 2007.