The principle no longer uses antimicrobial after choosing date for operation

The principle no longer uses antimicrobial after choosing date for operation
It is reported (reporter Zhang CanCan) The department of general surgery cleans the operation and cuts open the palace and produce and generally prevent from using medicine in conformity with the short distance before operation, needn't use after choosing date for operation. If patients are obviously infected with and endangered the factor high, prevent the administration and can be lengthened until 48 hours. Ministry of Public Health on a few days ago>Solicit the opinion publicly with " cut open palace, produce operation, enclose operation, prevent from with the antibacterial medicine managing the implementing regulation period ".
It is introduced antibacterial medicine unreasonable to it uses to be still clinical relatively more serious problem. Among them, it is a focal point supervised that the operation is prevented by the use against fungus medicine. Ministry of Public Health according to " Indication is clear, the scheme is ripe, disputes are less, become effective obviously, easily to comment on " Principle,last Chinese Medical Association surgery branch, Chinese Medical Association gynaecology and obstetrics credit will and Chinese hospital association medicine thing management committee experts relevants professional, based on " antibacterial medicine clinical practice guideline ", make general open department the intersection of notch and operation enclose period such as operation and cut open palace, produce operation, enclose operation, prevent from with the antibacterial medicine managing the implementing regulation period outside, in order to standardize the operation to prevent from using antibacterial drug use, instruct the medical organization to take the comprehensive measure to prevent the operation position from infecting.
" implementing regulation ", to preventing indication using medicine, prevent from choice that use medicine, prevent from use medicine give medicine method, prevent the intersection of operation and other measure, administration that position infect from manage make regulate specifically. " implementing regulation " requires, the department of general surgery cleans the operation and cuts open the palace and produce the operation and enclose operation period and prevent from using the management against fungus medicine to be in the charge of person in charge of medical organization, the board of trustee of the medicine thing offers consultation and technical support. Antibacterial medicine that should choose relatively wide table, result to be definite in principle, the security, price are relatively low. First-selected the 1st generation of very beginning spore's fungus is usually regarded as and prevented from using medicine; By skin endoscope stomach build the intersection of Lou and the intersection of mouth and skill, the intersection of peritoneoscope and gallbladder excise skill and endoscope drive in the wrong direction gallbladder pancreatic duct radiography skill to enter the intersection of abdominal cavity and the intersection of cavity and surgery of internal organs, it is the blue negative intestines bacillus of leather to mainly infect pathogens, it is plain to propose using the second generation of very beginning spore's fungus; Cut open palace, produce operation, have, infect high to endanger factor, (such as the leading placenta) until fetal membrane break, bleed before production early Wait for pregnant complication, arrive cutting open the palace and having the operation, antenatal numerous vaginas and checking and having pregnant amalgamation that is infected with incident of the postpartum, cut open the palace and produce the operation as the time of operation is longer and clogs a of yarn one of palace, bleed postpartum, can choose the 1st generation of the second generation of the intersection of very beginning and the intersection of spore and fungus add, use first the intersection of nitre and thiazole or use the intersection of hair and the intersection of spore and west man separately usually.
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