Notice! These 53 diseases do not require infusion!

The Anhui Provincial Health and Family Planning Commission released a list of “53 diseases that do not require infusion”. Among them, common and frequently occurring diseases, some surgical and gynecological inflammations, and children's diseases clearly do not require the use of antibiotic infusions. Experts say that some "inflammations" are not bacterial infections and antibiotics are ineffective. This is an officially released list. It is rigorous and has reference value. It is worth collecting a copy.

● Internal Medicine

1Upper respiratory tract infection: common cold, viral pharyngitis

2Acute tracheobronchitis, body temperature below 38°C

3. Bronchiectasis without acute inflammation

4 Bronchial asthma is in the chronic persistent stage and remission stage

5 Pulmonary tuberculosis (except disseminated pulmonary tuberculosis)

6Interstitial lung disease without obvious respiratory distress

7COPD remission

8 Uncomplicated varicella, mumps, rubella

9 Hypertensive urgency

10Chronic superficial gastritis

11 Non-infectious diarrhea with anhydration and electrolyte imbalance

12Simple Helicobacter pylori infection

13 Mild colitis

14 Uncomplicated peptic ulcer

15 Mild liver impairment with clear etiology

16 No organic lesions were found after multiple visits to the doctor, so functional gastrointestinal disease was considered

17 Acute cystitis

18 Spontaneous pneumothorax without complications

19Simple premature ejaculation and ventricular premature ejaculation

20 Endocrine and metabolic diseases without acute complications

21 Alzheimer's disease without special complications, hemifacial spasm, motor neuron disease, multiple tics, sleep disorders, anxiety, depression, migraine

22 Epilepsy (except status epilepticus and frequent epileptic seizures)

23 Primary and secondary prevention of cerebrovascular diseases without special complications (non-acute stage of cerebrovascular diseases)

24 Renal anemia, nephrotic syndrome, chronic glomerulonephritis, proteinuria without special complications

Interpretation: Antibiotics are only useful when bacteria cause inflammation

Experts say that there are four major types of stimuli that cause inflammation: biological (bacteria, viruses, parasites), physical, chemical, and immune overload.

Among diseases with "inflammation", only those caused by bacteria will be effectively treated with sensitive antibiotics. Colds, mumps, etc. are caused by viruses and antibiotics are ineffective. Inflammation caused by physical or chemical factors, such as pharyngitis, is sometimes caused by talking too much, eating spicy food, etc., and generally does not require the use of antibiotics.

● Surgery

1After resection of superficial tumor

2 Mild surface infection (no fever, normal blood count)

3 Mild soft tissue contusion

4 After minor body surface debridement

5. Superficial phlebitis

6. Osteoarthritis in the elderly

7 Non-acute lumbar disc herniation and spinal stenosis

8Limb fractures treated with closed non-surgical methods

9Chronic strain diseases

10. Chronic cystitis

11Chronic prostatitis

12. Prostatic hyperplasia

13. Kidney stones without complications

14. Seminal vesiculitis

15Acute rhinitis, various types of chronic rhinosinusitis, allergic rhinitis, acute sinusitis without complications

16Acute simple pharyngitis, chronic pharyngitis, acute simple tonsillitis

17 Acute laryngitis (except severe cases), chronic laryngitis

18 Acute and chronic external otitis, acute and chronic otitis media without complications, external auditory canal eczema, myringitis

Interpretation: Surgery is the hardest hit area for antibiotics

It is reported that surgical departments have become the hardest hit areas for antibiotics. Data show that the use rate of antibiotics among hospitalized patients in my country has reached 97%. Fan Zhimin, deputy director of Nanjing Hospital of Traditional Chinese Medicine and anorectal surgery expert, introduced that for the removal of some small lumps on the body surface, if the patient's physical condition is good and there is no obvious redness, swelling, heat, pain or surface infection (such as no fever and normal blood count), there is no need for infusion after the operation.

Of course, from the perspective of surgery, we must also look at infusion dialectically. "For example, some people have weaker resistance to infection and may still need to use antibiotics rationally."

● Gynecology

1Chronic pelvic inflammatory disease

2Chronic cervicitis

3 Asymptomatic uterine fibroids

4 Bartholin's gland cyst

5. Vaginitis and vulvitis

6Primary dysmenorrhea

7. Not associated with anemia or irregular menstruation