How to make the grass-roots rational use of antibacterial drugs？ The first group standard in China has come.

Wang Yu, expert consultant of Boao Forum for Asia Global Health Forum.

Cctv news(Intern reporter Huang Jiong-rui)On April 20th, during the International Forum of Health Industry of Boao Forum for Asia, China Medical Equipment Association issued the group standard "Rational Use of Antibiotics in Primary Medical Institutions for Village Clinics". According to reports, the release of this standard can provide reference, practical and detailed equipment configuration standards for rational use of antibacterial drugs for primary medical institutions and village clinics. Gradually reverse the unreasonable drug use situation in which primary doctors use drugs by experience and prefer drugs.

In 2013, the United Nations identified antibiotic resistance as one of the global health priorities in the 21st century. In 2021, the World Health Organization described bacterial resistance as a chronic epidemic. It has become increasingly difficult to develop new and efficient antibiotics to deal with drug-resistant and even multidrug-resistant bacteria. Rational use of antibiotics is the most important measure to overcome bacterial resistance and exert curative effect.

Village clinics are the foundation of rural medical and health service system, and the majority of rural doctors have long relied on "three things" — — Stethoscope, sphygmomanometer, thermometer. The educational method of calling for grassroots medical staff who lack clinical laboratory conditions to use antibiotics according to whether patients are infected with bacteria has little effect. Wang Yu, an expert consultant at the Global Health Forum of Boao Forum for Asia, said that most of China’s 592,200 village clinics do not have the conditions to check blood cells. Doctors use drugs according to experience, which tends to lead to unreasonable or overuse of antibiotics.

In order to standardize the application control of antibacterial drugs in primary medical institutions, popularize the application of POCT equipment for checking peripheral blood leukocytes, and further implement the national regulations and medical reform policies of graded diagnosis and treatment and integrated services in China, China Medical Equipment Association invited domestic hospitals, research institutions and enterprise experts to jointly compile the equipment configuration standards for rational use of antibacterial drugs in primary medical institutions, which are divided into four aspects: current situation and necessity, working conditions and contents of the standards, principles and main contents of the standards, and publicity measures.

Village clinics are the bottom of rural medical and health services, which are related to the health and life safety of the broad masses of farmers. By equipping village clinics with appropriate technical products, we can further strengthen the capacity building of village clinics, strengthen the basic medical service function of the first health defense line, and provide grassroots solutions for solving major global public health problems such as bacterial resistance.