Interest-driven abuse of antibiotics
The cost of antibiotic waste treatment is high, and Shandong pharmaceutical companies are exposed to stealing antibiotic sewage.
From the end of 65438+ 10 to the beginning of 165438+ 10 this year, journalists and researchers went to the northeast, north China and east China to collect water samples in some drinking water sources, drainage channels, pharmaceutical enterprises, livestock and poultry farms and other surrounding areas. Through laboratory tests, antibiotics were detected in these water samples. Among them, in the drainage ditch near Shenyang Antibiotic Factory, the value of 6- aminopenicillanic acid is as high as 178 ng/L, and the values of ampicillin and amoxicillin are also above100 ng/L.
Antibiotics were detected in some areas of major rivers in China, such as Haihe River, Changjiang Estuary, Huangpu River, Pearl River and Liaohe River. Among them, the pollution of antibiotics in Guangzhou section of the Pearl River is serious, and the contents of typical antibiotics such as dehydrated erythromycin, sulfadiazine and sulfadiazine are 460, 209 and 184 ng/l, which are much higher than those in rivers of developed countries in Europe and America.
Antibiotic abuse drags down rural patients
It is obviously a curable "minor illness", but due to the long-term overuse of antibiotics, the drug resistance has increased, and the "minor illness" has finally become a "terminal disease" and a "poverty-causing disease". At present, antibiotics have been entrenched in rural areas for a long time, and the drug resistance of a large number of villagers has increased year by year, but there is no cure for common diseases, which has become a difficult problem to be solved urgently in primary health care.
An authoritative survey in China shows that 78.5% of rural residents take antibiotics when they have a cold, while a similar study in Germany shows that only 10.5% of rural residents take antibiotics. Zhao Chunjie, deputy dean of the School of Pharmacy, Shenyang Pharmaceutical University, pointed out that in order to solve the problem of antibiotic resistance, new broad-spectrum antibiotics must be continuously introduced to make patients suffer from high drug costs and high drug resistance. "The stronger the drug resistance, the higher the infection rate and mortality rate."
How to cut off the interest chain behind antibiotic abuse?
Legislation to standardize the application and management of antibiotics
"The most effective way to curb this chaos is to start with drug management, legislate and formulate relevant laws and regulations, and standardize the application and management of antibiotics." Guo said that it is necessary to legislate to prohibit the use of drugs by humans and animals, formulate the types and content standards of residual antibiotics in food, and strengthen monitoring and testing. The aquaculture industry completely prohibits the use of antibiotics to prevent the possibility of antibiotic residues from being introduced into the human body from food sources. Because "antibiotic pollution" food will seriously damage national health and reduce national quality.
At the same time, Guo also proposed to establish a low compliance system for clinical use of antibiotics, establish a control system for the use of antibiotics to prevent infection, strengthen publicity, popularize the understanding of antibiotics, and clean up antibiotics in family medicine boxes. & gt& gt
Strengthen the management of antibiotic use.
Use antibacterial drugs in strict accordance with the indications and treatment specifications of bacterial infections, and prevent the purchase and use of antibacterial drugs without prescription. Reduce and standardize the use of antibiotics in animal husbandry. Antibiotics used by animals and people should be different, and those used by people should not be used by animals as much as possible. Reduce the environmental residue of antibiotics. Bad medicine enterprises also directly discharge wastewater containing antibiotics into the environment, and environmental protection departments should also do this management well. & gt& gt
Track the use and recovery of antibiotics.
"We must pay attention to the possible ecological risks caused by antibiotics." Yuan, a researcher in Anhui, said that it is necessary to track the use and recycling of antibiotics, incorporate the use of antibiotics in medical institutions into the assessment system, and increase the punishment for hospitals and doctors who abuse antibiotics.
Experts believe that EU countries have completely banned the addition of any antibiotics to feed, and China should issue corresponding laws and regulations in time to strictly restrict the use of antibiotics in animal breeding. In addition, research on antibiotic substitutes in aquaculture should be intensified.