Thursday, November 15, 2012

The bacterium is able to bear the medicine situation troublingly

The bacterium is able to bear the medicine situation troublingly
Perhaps one day, some ordinary inflammation caused by bacterial infection such as pneumonia, enteritis, malaria, tuberculosis,etc., will make the doctor at a loss what to do because there is no appropriate medicine. This does not deliberately exaggerate facts so as to creat a sensation definitely. Penicillin this kind treat antibiotic of inflammation, find and use on a large scale first since, have countless life of people save because of antibiotic already, but of different pathogenic even fatal bacteria to able to bear the nature issue, produce meanwhile even, cause the curative effect of some antibiotic to drop gradually. Don't think this kind of situation was far from China, but existed only in the developed country. Just the opposite, infer, the severity that the Chinese bacterium is able to bear the nature problem has already occupied world top according to the relevant person, it is even probably one of the several most serious countries. People abuse antibiotic make much to able to bear the intersection of medicine and the intersection of venereal disease and fungus, appear more and more medicine lose curative effect task of top priority to control trend this rise in China in recent years. In the health organization of the United Nations (WHO) in 1985 Support under,begin China about bacterium of antibiotics medicines last nature and monitor, already had a history of more than 10 years so far. The national bacterium able to bear the few great professors of the money of director of monitoring center of medicine and introduces, not only some " old " Antibiotic, such as penicillin of some kind, have already been close and fail, even used in the clinical time relatively short " new " Antibiotic, such as the intersection of sand and star and the intersection of very beginning and spore, as to to able to bear nature, reach amazing intensity too some common bacterium, it is dozens of times of some developed countries. Penicillin close to, fail new medicine a lot of Wuhan the intersection of city and the intersection of Tongji University and hospital it explains just professors to be whether national bacterium able to bear the intersection of medicine and the intersection of monitoring center and person in charge in Hubei very too already, in February he has revealed, according to the monitoring of several large hospitals in saving when being interviewed by local media, Escherichia coli that isolates from patient, to the sand star of ring third (one kind of sand star antibiotic) Serious quite in the situations when able to bear by medicining,be more than 50% alreadied. Able to bear the monitoring data that the medicine monitoring center collects from the whole country to see from the national bacterium, the situation in Hubei is not the most serious. Report (statistics in 2000 have not been finished yet) in 1999 Point out to the intersection of sand and star to it able to bear natures to be 54%, separate Escherichia coli that come out (cause urethritis) from the intersection of urine and sample medicines general Escherichia coli ,This one is able to bear the nature index and up to 74%. Except Escherichia coli, in China, to able to bear nature, up to quite high intensity many other disease, among them to lack and direct against some is more top-grade than sand stars, is thought antibiotic with stronger curative effect. This forces this kind of patient to use the variety to upgrade constantly, antibiotic usually of more expensive too price. Professor Wang Rui in the clinical pharmacological research office of PLA general hospital has introduced several relevant figures to the reporter: According to the general situation of foreign countries, impatient's expenses in using antibiotic are about 15%- 30% of the all-inclusive cost, in China, this accounts for more than 50%. In the medicines funds of the whole country, antibiotic accounts for about 40% too. Professor Wang analyzes, on one hand, this is because our country is infected with the disease morbidity higher, on the other hand, reflect, able to bear nature issue outstanding, and antibiotic use unreasonable too. In an investigation, Professor Wang finds, in antibiotic that is issued to the patient, up to 25% belong to " Unreasonable to use medicine " ,This kind of phenomenon has induced germs to be able to bear nature to prone to seriously. Mr. Ma Yue that the national bacterium is able to bear the medicine monitoring center has recommended the germ the reason why will produce the reason which is able to bear nature. He says, except some bacteria in nature with drug resistance, all germs appear in using the course of antibiotic to able to bear medicines. That is to say, the more chance the germ contacted with antibiotic, it is the more general to produce the phenomenon able to bear nature. Antibiotic accounts for fifty percent of expenses for medicine The unreasonable administration is too serious Have used penicillin for decades,etc. " Old " Antibiotic, it belongs to the natural phenomena to able to bear nature and rise, but different from it, is using antibiotic, or condition under the minor situation, abuse antibiotic, the " unreasonable to use medicine " still The phenomenon will accelerate the rising speed that germs are able to bear nature. Conversely, force the doctor to have to use antibiotic of the new variety extensively too. " vicious circle " Lead to the fact the germ of China is able to bear the nature problem to the more serious becomes more and more more and more. The medical expenditure increasing is only one to able to bear nature and rise " It is small " The question, the more serious one is, will cause " super germ " Appearance,it is which make ordinary infection turn into hopeless case that medicine can cure. As early as a few years ago, researchers in the world had already warned, a kind of such a " super germ " MRSA (able to bear the golden yellow staphylococcus of first oxygen west forest) Has already existed, the " doomsday " of antibiotic Will come soon. The super germ once has broken out and can't bear imagining MRSA makes a variation and produces because of appearance of antibiotic when already appearing, at present, except " mould and plain through the ages " of high price ,Any regular antibiotic has already lost curative effect to it. Unfortunately, the danger of MRSA is not merely a kind of warning for China. Professor Wang Rui of PLA general hospital admits, she has already met the case of death caused by MRSA, and, " non- rare " that this kind of case has already reached now Intensity. According to the monitoring in our institute of PLA general hospital, MRSA proportion in all golden yellow staphylococcus already accounted for 30%, the investigation in Shanghai reveals, the proportion is quite high too. It may cause inflammation of respiratory system, septicaemia and wound to suppurates and does not heal, once break out, the consequence will be too ghastly to contemplate. In the western developed country, there is strict restriction to oppose the use of the growing type, if has not found inflammation, the doctor will not use any antibiotic for the patient. On condition that have to use, want, check which kind of infection that germ lead to the fact it is at first too, and then determine which kind of antibiotic to use. Moreover, if regular antibiotic can reach the therapeutic effect, would not use the so-called " new " Medicines. But in China, it is not like this. The patient and some doctors believe blindly the better the newer, the more expensive medicine is, minor at the condition, even not used the so-called " specially good effect " under situation of inflammation at all , " wide table " Antibiotic, lead to the fact that is able to bear nature to rise quickly, when really needing, the curative effect of antibiotic has already been reduced greatly. Believe new medicine of expensive medicine blindly Cause curative effect to reduce greatly Some foreign doctors coming to China use medicine to this kind " Used to " Feel in a puzzle. Professor Wang Rui thinks, the present domestic antibiotic variety is very various, even some doctors, also it is difficult to grasp all The nature of antibiotic, often " misapply " Phenomenon. In fact, this is a kind of defect cured on the system. Professor Wang says for example, the eighties of the 20th century, sand star medicines, as a kind of " wide table " When antibiotic of sex is listed, various germs are very " sensitive " to it ,It is nearly zero to be able to bear nature, so, a lot of doctors begin to use. Also just because of this, the ones that cause the sand star are able to bear nature and rise to such intensity of today during short several decades. Moreover, some new monobasic sand star medicine, because is the same kind, list just, able to bear nature on already very much high. According to the intersection of PLA and the intersection of general hospital and statistics in courtyard, 1995, Escherichia coli able to bear nature and has already been up to 50% to the intersection of ring and third sand star, in and 1999, further rose to 74.9%. And belong to the song just listed and cut down the sand star and able to bear nature and has already been up to 67.4%. Shortly after spore antibiotic of very beginning appears as a specific drug too, but Escherichia coli is able to bear nature and has already been up to about 50% to it at present, not long ago, also there were more than 30%. Professor Wang says, this kind of medicines was being used for treating cold unexpectedly frequently. In fact very beginning spore has little curative effect to cold, lures the germ into being able to bear nature and rise instead. The diet was hit " Eat the source to pollute " It may be a greater reason. Antibiotic is not only used in people, but also already feed additive used in the livestock, function is to prevent disease, and promote livestocks to grow. And as the mankind eats these to contain meat products of residues of antibiotic, will cause the internal germ to be able to bear nature to rise. Studies have suggested, in the antibiotic environment of the low dosage, the rising speed that the germ is able to bear nature is faster instead. Feed additive feed livestock, include antibiotic at present in the meat products, include the sand stars too in antibiotic that animal husbandry spend. Mr. Ma Yue that the national bacterium is able to bear the medicine monitoring center introduces, there is statistic that shows, sand star medicines who uses the animal husbandry for are 500 kilograms every year in Denmark, its amount of livestock on hand of livestock is 1/10 of China, so according to equal consumption, the sand star who China uses for the animal husbandry should be 5 tons. But the actual conditions are: According to the figure already grasped, antibiotic used for animal husbandry is 6000 tons every year in China, among them about 500 ton to 1000 ton is sand stars. Antibiotic that U.S.A. uses in this respect is more than that of China, about 10,000 tons, but its scale of animal husbandry should be much larger than China. Use for antibiotic of animal husbandry of developed country such as Denmark and U.S.A. have a stricter regulation, the remaining antibiotic amount is as a project of quarantining, but in China, there is no relevant standard. Antibiotic is not only used in the feed, but also disinfectant used in the fishpond. To situation this, national bacterium able to bear the intersection of medicine and monitoring center cooperate, go on " eat the intersection of source and the intersection of venereal disease and original fungus, able to bear nature " with Ministry of Public Health and the intersection of Ministry of Agriculture and related departments Investigation. Because poultry, pig, ox,etc. use impact on people of antibiotic and threat while raising in order to announce. Being able to bear the medicine venereal disease fungus once appears, will often spread in the masses of crowds, cause the coverage to expand constantly. Moreover, are able to bear the medicine germ to present, can not almost eliminate. For example, if dispel the existing germ able to bear the penicillin, sand star, need the mankind to no longer use these two kinds of medicines completely, and time is as long as 100 years. So, control its ascendant trend to be present task of top priority, it is nearly the only thing that can be done.

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