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877 monitoring and drug resistance of pathogenic bacteria


Drug resistance. Practical Medical Techniques, 2002,9 (3): 170.5CalderonJE, MonterosLE, AvilaBR. Epidemiologyofdrugresistance: thecaseofstaphylococcusaurensandcoagulase-negativest ~ phylococciinfections. SaludPublicaMex, 2002,44 (2): 108. (Received: 2O02-06-24) was Kitty Long Qing-lin Yang Xuemei 1, the First People's Hospital, Guangzhou (510180); 2 Second Affiliated Hospital of Sun Yat-sen (510120) Abstract nurses, pharmacists, into. Conclusion: Key words Objective: Clinical safety of medication to reduce the reference drug-induced diseases. Methods: The clinical treatment analysis of a number of phenomena, from doctors, drug 4 there may be adverse effects of drug treatment factors were summarized. Results: The clinical use of a variety of factors made by the proper use of drugs to reduce drug-induced diseases, drug adverse factors of clinical measures in recent years for more and more types of clinical medicine to discuss the effective use of both drugs, but also ensure patients with drug safety, has important practical significance. In this paper,[link widoczny dla zalogowanych], the actual clinical work on some common negative factors are summarized, and analyze the causes and propose a solution. A common sense of duty 1.1 negative factors: such as some doctors to write prescription drugs when drugs do not write the full name, dosage form, dosage, and sometimes use is not clear (if only to write self-injection, sub-service, follow the instructions to take), age of patients write only Sometimes the facts in the case of pathogenic bacteria by experience only a temporary choice of antibiotics, the trial is not sensitive to the first 2 pulls, 3 species, these practices are likely to cause medical errors. 1.2 Some doctors special medicine, drug, compound do not understand that repeated drug use. Such as the center of the dispensing pharmacy patients sometimes medicine doctor or hospital or even up to more than lO l9 kinds of species,[link widoczny dla zalogowanych], these due to the adverse consequences of repeated drug use is difficult to predict. Shí not familiar with the drug formulations: the vaginal tablets, oral medication, such as: gynecological erythromycin enteric-coated tablets of antibiotics, nystatin sugar coated tablets, metronidazole tablets and other vaginal plug was ... I, oral tablets side in the group distinct from the vagina effervescent tablets, vaginal suppositories, the collapse of the vagina is poor, and the oral tablet excipients are starch, not for the vagina. Some doctors also distributed to the enteric-coated tablets with d ~ JLN, such as the aspirin,[link widoczny dla zalogowanych], erythromycin enteric-coated tablets into 1 / 3, 1 / 2 or powdered to the children taking enteric-coated tablets are fine points Grind into powder or enteric coating after the loss of the protective layer, the effective release of drug in the stomach, it will stimulate the gastric mucosa, easily lead to gastrointestinal ulcers, while the role of the effectiveness of drugs decreased by gastric juice. 1.3 Interdisciplinary blindly prescribe: the theoretical system of TCM is different from the use of Western medicine there will be some difference between law and some doctors do not understand the fundamental theoretical knowledge of Western medicine, but some Western medical knowledge of the pharmacology of traditional Chinese medicine understand, even to the pharmacy to ask drug treatment, the use of such unskilled result of medical errors will inevitably occur. 1.4 Other factors: due to an incorrect medical promotional activities, making some doctors less than optimal medical treatment according to choose safe, effective, reasonable, inexpensive drugs, but take into account other, were not related to drugs and treatment. 2 nurses to perform a clinical nursing time factors: ① strictly checked before administration: without thinking, not too sure, resulting in the wrong pin, the wrong drug when such phenomena occur. ② map to facilitate the work: the day care on rehydration preparation or by the night shift with a good infusion of fluid to patients when idle. ③ transfusion inspection sedentary: Liquid lose air, plug the needle back to the phenomenon of blood often occur. ④ transcribed doctor's orders are not serious: transcribed are following doctor's advice is wrong the first hurdle, but because of lack of concentration, resulting in bed numbers, when asked, drug name, dosage and adverse effects caused by the wrong copy. Professional quality factors: ① the chemical symbol for drug, chemical name,[link widoczny dla zalogowanych], foreign name, trade name or dosage unit led to the wrong medicine are not familiar with, to give the wrong dose or the wrong way and so on. ② basic operation skill level, but off; not by aseptic technique,[link widoczny dla zalogowanych], injection without added fluid to fully dissolve in liquid intramuscular injection of muscle is not injected too fast, the uneven force bolus injection of improper posture and so may lead to unsafe drugs. Other factors: the division of labor is unclear or a nurse at the same time a lot of work, resulting in confusion due to medical errors. 3 factors of individual pharmacist pharmacists sometimes the wrong drugs, such as the More articles related to topics：


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