Principles for using the hierarchical management system for antibacterial drugs
(1) Principles of use: Strict use indications, adhere to rational drug use, graded use, and strictly prohibit abuse.
Medical institutions and medical personnel should strictly understand the indications for the use of antibacterial drugs to prevent infection. To prevent infection and treat mild or local infections, unrestricted-use antibiotics should be the first choice; restricted-use antibiotics can only be used when severe infections, combined infections with low immune function, or pathogenic bacteria are only sensitive to restricted-use antibiotics.
(2) Specific usage methods
1. Non-restricted use grade antibacterial drugs-all doctors can choose them according to the needs of the patient's condition with prescriptions and medical orders.
2. Restricted-use antibacterial drugs--can only be used according to the needs of the condition, and the prescription and medical order must be signed by the attending physician or above.
3. Special use grade antibacterial drugs - the indications for use must be strictly controlled and discussed by relevant experts. The prescription and medical order must be signed by the deputy director and chief physician before use. In emergencies, if the prescription is used without consultation or at a higher level, the prescription amount shall not exceed 1 day's dosage, and relevant medical records must be kept.
(3) Strictly control the use of special-use grade antibacterial drugs.
Special-use grade antibacterial drugs are not allowed to be used in outpatient clinics. Discharged patients who used special-use grade antibacterial drugs during hospitalization can take the drugs in the outpatient department to complete sequential treatment. The clinical application of special-use grade antibacterial drugs should strictly follow the indications for use. After consultation and approval by antibacterial drug clinical application management experts designated by the antibacterial drug management working group, the prescription should be issued by a physician with the corresponding prescribing authority.
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