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Pharma Network February 2nd, Shanxi Provincial Health And Wellness Commission issued "on the issuance of antimicrobial clinical application classification management directory (2021 edition) notice" (hereinafter referred to as "Notice").
the latest news! The Notice on Significant Adjustments to the Antibacterial Drug Catalog requires medical institutions to complete the adjustment of the antimicrobial drug supply catalogue by March 31 in accordance with the objective of optimizing the structure and ensuring clinically reasonable needs.
Clearly stated that when medical institutions use similar products, they should give priority to the selection of antimicrobial varieties or product regulations with strong antibacterial activity, good pharmacological characteristics, few adverse reactions, excellent cost-effectiveness and national basic drug catalogues;
Compared with the old version of the Directory, the new Edition of the Directory has removed three types of antimicrobial drugs of external dosage forms, 9 drugs not approved for domestic market use, 3 varieties of enzyme inhibitors with unreasonable ratio, 6 new drugs that have been on the market for many years or negotiated by the State, and 3 new drugs that have been on the market in recent years.
to the attention of primary-level doctors, these 11 antimicrobial drugs can not be used in addition to antimicrobial drugs for reduction and increase, in order to ensure the quality of medical care and medical safety, the Directory also made adjustments to the level of use.
11 antimicrobial drugs were adjusted from the non-limit level to the limit level management, 9 antimicrobial drugs were adjusted from the limit level to the special level management, and 4 antimicrobial drugs were adjusted from the special level to the limit level management.
Generally speaking, doctors with intermediate or higher professional and technical positions may use restricted antimicrobials, doctors qualified for junior professional and technical positions and practicing assistant physicians who independently engage in general practice activities in township (town) and village medical institutions, and rural doctors may use non-restricted antimicrobials.
The Notice makes more stringent provisions: township hospitals, community health service centers (stations), village health clinics, outpatient clinics, clinics and other basic medical institutions, in principle, the use of non-restricted antimicrobial drugs, and can only choose the national basic drugs.
updated directory below for the reference of primary care physicians, do not use the old directory wrong.
Note: Antibacterial drugs filled before the name, in principle, only three-level medical institutions and secondary medical institutions with a department of intensive care use in addition, the Directory also stressed that the catalog does not include antibacterial drugs, may not be included in the general procurement directory of medical institutions.
medical institutions need to use unrecosted antimicrobial drugs due to special treatment needs, they are required to initiate temporary procurement procedures and report them to the competent health administrative department for the record.
is managed at the special level of use when used.
medical institutions increasingly establish and improve the classification management system of antimicrobial drugs, we must clearly use the prescription authority of antimicrobial drugs at all levels, so as not to make mistakes.