Children who visit a medical institution for acute diarrhea or upper airway infection and who do not need antibiotics will be rewarded for medical treatment by explaining that they do not need antibiotics. A joint study by the National Center for Child Health and Development and Hamamatsu University School of Medicine found that the addition of antimicrobial proper use support (ASP) contributed significantly to the reduction in antimicrobial use rates in pediatric outpatient clinics.
According to the National Center for Child Health and Development, the research group will use the data of about 55 people nationwide in the information database of medical receipts (statement of medical receipts) and specific medical examinations, and will use the ASP addition newly introduced in 2018. I investigated the actual situation.
As a result, it was found that the use of antibacterial drugs in pediatric outpatient clinics decreased by 18% as a result of this addition, and that symptomatic drugs such as respiratory drugs and antihistamines also decreased slightly.The introduction has not affected the overtime consultation and hospitalization rate.
Easy prescription of antibacterial drugs increases the number of drug-resistant bacteria that do not work, which has become a public health problem.It is thought that the background is not only some doctors who are trying to make a profit by prescribing medicines, but also the attitude of patients who easily ask for unnecessary medicines, despite the call of the Ministry of Health, Labor and Welfare. I couldn't get the effect.
For this reason, the Ministry of Health, Labor and Welfare has set out an unusual policy of adding medical fees to not prescribing drugs, and the research group has set a policy to promote the proper use of antibacterial drugs relatively safely by ASP addition. I think it became.
Paper information:[International Journal of Epidemiology] The consequence of financial incentives for not prescribing antibiotics: a Japan's nationwide quasi-experiment
