Jiangsu Wei plans to limit the anti-arrest order

The Jiangsu Provincial Health and Family Planning Commission issued the "Jiangsu Provincial Catalogue for the Clinical Application of Antibacterial Drugs (2015 Edition)" (hereinafter referred to as the "Catalogue"), which began on March 1 and strictly administers antimicrobial drugs in the province. A person in charge of a pharmaceutical company in Jiangsu stated that in the previous edition (2012-2014 edition), medical institutions had the right to formulate a “Districted Management Catalogue of Clinical Application of Antibacterial Drugs in their Units”, which could adjust the level of antibacterial drugs, and the 2015 edition put this Blocked the mouth, strict management.

According to the above-mentioned person in charge, the antibacterial drugs are divided into three lines: non-limiting antibacterial drugs, restricted antibiotics, and special antibacterial drugs. In general, all regions or hospitals have their own rules. Physicians using antibacterial drugs will be classified according to the authority. Jiangsu's current withdrawal of medical institutions to formulate the grading of antibacterial drugs shall be formulated by the provincial Health Commission. However, this time, children's medication restrictions have been relaxed. There are pediatric hospitals and children's hospitals that can increase one child's dosage form.

The "Catalogue" included 207 antibiotics. Compared with the previous version, the number has increased by only one. From a variety point of view, the new version increased the use of cefdinone and carumenolam for special use management and called out chlortetracycline ( Previously used without restriction). The rules in the "Catalogue" have been increased from five to eight, and two of the rules have caused market concerns and are considered to be a signal to tighten the "defence order."

The above two additions are: In addition to the compound (square) preparations containing antibacterial agents in this catalogue, other compound preparations containing antibacterial pharmaceutical ingredients are administered according to the highest level of contained antimicrobial agents; The variety specification of pharmaceuticals should be managed with reference to the special use level and reported to the Provincial Health and Family Planning Commission and the local health and family planning administrative department.

This also means that all antibacterial drugs that have not been included in these lists are all included in the special class and cannot be used in outpatient services. Its clinical application is more obvious.

According to the regulations of the National Health and Family Planning Commission, special use grade antibacterial drugs refer to one of the following situations: 1. With obvious or serious adverse reactions, should not be arbitrarily used antimicrobial drugs; 2. Need to strictly control the use of bacteria to avoid the rapid emergence of antibiotic resistance; 3. Antibacterial drugs with less clinical data on efficacy and safety; 4. Expensive antibacterial drugs. Special use grade antibiotics should not be used in outpatient clinics.

In addition, the Great Intelligence News Agency found that the two versions of the directory comparison, the new version of the directory of some of the state of antibacterial drugs Yan Song loose: 1. Sulfenicillin is adjusted to a non-restricted level from the restricted level; 2. Sulbactam and Fusidic acid are reduced from the special use level to the restricted level. In particular, Sulbactam was originally confined to tertiary hospitals. After adjustment, it can be used in emergency and hospitalization. 3. Although teicoplanin is still included in the special drug level, the lifting of the restrictions imposed on the use of tertiary hospitals only; 4. Constraints on the management of cefoxitin and cefodizime are limited to hospitalized patients and may not be used in outpatient clinics.