Warning Against Antibiotic Abuse – The New Indian Express

Express press service

GUNTUR: Akhil (name changed), a diabetic patient, had an accident. When he was brought to the Government General Hospital (GGH) in Guntur, doctors had to perform surgery to treat his injured muscle. While treating it, the doctors realized that it was resistant to more than 60% of the drugs given to diabetic patients. This made his recovery difficult.

The main reason, according to doctors, was the misuse or overuse of antibiotics. The main driver of antibiotic resistance is the overuse of antibiotics, which exerts unnatural selective pressure on bacteria and leads to the development of antimicrobial resistance (AMR). AMR occurs when bacteria, viruses, fungi, and parasites change over time and no longer respond to medication, making infections harder to treat and increasing the risk of disease spread, serious illness, and death. death.

According to the WHO, a study indicated that between 2000 and 2015, the consumption of antibiotics increased by 103%, from 3.2 to 6.5 billion DDD (defined daily doses). Easy access to pharmaceutical stores, informal distributors and the use of over-the-counter drugs can be the main reason for this. Speaking to TNIE, Dr. Chukka Ratna Manmohan of the General Medicine Wing of Guntur GGH said that antibiotic abuse refers to the consumption of antibiotics without medical advice, the reuse of old prescriptions, non-completion of the prescribed treatment or reduction in the duration of treatment, taking less than the prescribed dose or not respecting the correct frequency.

The Medicines and Cosmetics Act 1940 and Rule 65 of the Medicines and Cosmetics Rules 1945 list medicines which cannot be purchased without a doctor’s prescription. Despite strict rules, pharmacists sell high doses of antibiotics and drugs listed in schedules H and H1 of the law, to make a profit. While antibiotics should be used judiciously, this is often not the case in rural and urban areas where untrained doctors treat patients.

This will lead to the use of over-the-counter or over-the-counter drugs. The reason for the increase in the use of over-the-counter drugs is the economic situation of lower and middle class people who cannot afford doctors’ fees. Another reason is people’s reluctance to go to hospitals for minor health issues. Nowadays, several people search for suitable medicines on the internet and get them from nearby medical store. K Raghuram, pharmacist at Guntur, says that most patients who come for self-medication ask for antibiotics right away.

“If we don’t give it to them, they will start arguing. And sometimes people come to buy medicine with an old prescription, and when others ask to give tablets for colds, coughs, fevers, respiratory conditions or infections, we give a course for two days and suggest them to consult a doctor if they return for continuation of the course,” he added. While the overuse of antibiotics has been alarming over the past two decades, the issue has come to the fore again during the Covid-19 pandemic.

Several patients have been found to have developed resistance to many antibiotics, which has forced doctors to prescribe high doses of antibiotics, which will in turn have serious long-term side effects. During the first wave of the Covid pandemic, the use of antibiotics increased by more than 30%. Dr Manmohan explains that during the first wave, the world was very doubtful and panicked about a particular treatment process.

High doses of antibiotics were therefore used to save the lives of patients. He points out that if the situation continues like this, the human body will become resistant to several antibiotics and the condition will get out of control after 20 or 30 years. Doctors say overuse of antibiotics is tantamount to inviting unwanted diseases. The solution to this burning issue is to educate people and raise awareness, Dr. Manmohan believes.

At the same time, the development of government medical health centers and the supply of drugs to people will prevent them from going directly to dispensaries, he added. A DMHO official, who does not want to be named, said government health centers, including PHCs and UPHCs, were in poor condition. But now the health centers have been reorganized. Doctors are available at all times and medicines are distributed free of charge to patients. He urged people to visit nearby health centers for any health issues.

Use it wisely

The main reason for antibiotic resistance is overuse or misuse of antibiotics

If the situation continues like this, the human body will become resistant to several antibiotics and the condition will get out of control after 20 or 30 years, doctors say.

30% increase in the use of antibiotics during the first wave of Covid

103% increase in antibiotic consumption, from 3.2 billion DDD to 6.5 billion DDD

Using over-the-counter or over-the-counter drugs is dangerous, doctors say

People should see a doctor for any health issues and avoid self-medication

GUNTUR: Akhil (name changed), a diabetic patient, had an accident. When he was brought to the Government General Hospital (GGH) in Guntur, doctors had to perform surgery to treat his injured muscle. While treating it, the doctors realized that it was resistant to more than 60% of the drugs given to diabetic patients. This made his recovery difficult. The main reason, according to doctors, was the misuse or excessive use of antibiotics. The main driver of antibiotic resistance is the overuse of antibiotics, which exerts unnatural selective pressure on bacteria and leads to the development of antimicrobial resistance (AMR). AMR occurs when bacteria, viruses, fungi, and parasites change over time and no longer respond to medication, making infections harder to treat and increasing the risk of disease spread, serious illness, and death. death. According to the WHO, a study indicated that between 2000 and 2015, the consumption of antibiotics increased by 103%, from 3.2 to 6.5 billion DDD (defined daily doses). Easy access to pharmaceutical stores, informal distributors and the use of over-the-counter drugs can be the main reason for this. Speaking to TNIE, Dr. Chukka Ratna Manmohan of the General Medicine Wing of Guntur GGH said that antibiotic abuse refers to the consumption of antibiotics without medical advice, the reuse of old prescriptions, non-completion of the prescribed treatment or reduction in the duration of treatment, taking less than the prescribed dose or not respecting the correct frequency. The Medicines and Cosmetics Act 1940 and Rule 65 of the Medicines and Cosmetics Rules 1945 list medicines which cannot be purchased without a doctor’s prescription. Despite strict rules, pharmacists sell high doses of antibiotics and drugs listed in schedules H and H1 of the law, to make a profit. While antibiotics should be used judiciously, this is often not the case in rural and urban areas where untrained doctors treat patients. This will lead to the use of over-the-counter or over-the-counter drugs. The reason for the increase in the use of over-the-counter drugs is the economic situation of lower and middle class people who cannot afford doctors’ fees. Another reason is people’s reluctance to go to hospitals for minor health issues. Nowadays, several people search for suitable medicines on the internet and get them from nearby medical store. K Raghuram, pharmacist at Guntur, says that most patients who come for self-medication ask for antibiotics right away. “If we don’t give it to them, they will start arguing. And sometimes people come to buy medicine with an old prescription, and when others ask to give tablets for colds, coughs, fevers, respiratory conditions or infections, we give a course for two days and suggest them to consult a doctor if they return for continuation of the course,” he added. While the overuse of antibiotics has been alarming over the past two decades, the issue has come to the fore again during the Covid-19 pandemic. Several patients have been found to have developed resistance to many antibiotics, which has forced doctors to prescribe high doses of antibiotics, which will in turn have serious long-term side effects. During the first wave of the Covid pandemic, the use of antibiotics increased by more than 30%. Dr Manmohan explains that during the first wave, the world was very doubtful and panicked about a particular treatment process. High doses of antibiotics were therefore used to save the lives of patients. He points out that if the situation continues like this, the human body will become resistant to several antibiotics and the condition will get out of control after 20 or 30 years. Doctors say overuse of antibiotics is tantamount to inviting unwanted diseases. The solution to this burning issue is to educate people and raise awareness, Dr. Manmohan believes. At the same time, the development of government medical health centers and the supply of drugs to people will prevent them from going directly to dispensaries, he added. A DMHO official, who does not want to be named, said government health centers, including PHCs and UPHCs, were in poor condition. But now the health centers have been reorganized. Doctors are available at all times and medicines are distributed free of charge to patients. He urged people to visit nearby health centers for any health issues. Use it wisely The main reason for antibiotic resistance is overuse or misuse of antibiotics If the situation continues like this, the human body will become resistant to several antibiotics and the condition will get out of control after 20 or 30 years, according to doctors, 30% increase in the use of antibiotics during the first wave of Covid 103% increase in the consumption of antibiotics, from 3.2 billion DDD to 6.5 billion DDD The use of drugs on sale over-the-counter or over-the-counter is dangerous, doctors say People should see a doctor for any health concerns and avoid self-medication

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