Use of antibiotics without the advice of doctor is not advisable,says DMCH DOC
APICON-2017, the largest National Conference of Association of Physicians of India was held recently at Mumbai. The conference was attend be nearly 6000 delegates from India and abroad as well. Principal and Professor of Medicine Dr Sandeep Puri was honoured with ‘Rabindra Nath Tagore Oration’ which is awarded for contribution towards medical science in India by API Body. During his oration, Dr Puri highlighted the problem of antibiotic resistance in the world and India in particular. The rampant and injudicious use of antibiotics has led to the emergence of pathogens which are resistant to the most highly active antibiotics also.
In his oration, Dr Puri highlighted the mechanism of resistance and gave details about causes which lead to resistance. Inappropriate use of antibiotics over the counter availability and poor compliance by the patients are the leading causes of antibiotic resistance. Use of antibiotics to promote the health of animals is also a reason leading to antibiotic resistance.
There has been no new class of antibiotics which have been discovered in the last thirty years. In his oration, Dr Puri said that it is the need of the hour that physicians and public should improve their habits in order to curb this menace.
DMCH has initiated various steps to tackle antibiotic resistance. Dr Puri highlighted the efforts of DMCH towards this problem. In DMCH, Hospital Infection Control Committee (HICC) and Infection Control Committee of Nurses (ICCN) are regularly monitoring the incidence of infections. Department of Microbiology at DMCH has been regularly issuing antibiograms which help the clinicians in choosing the right antibiotic.
Hand Hygiene, which is significantly important, has been promoted at a very high level in DMCH.
Dr Puri also highlighted that National Guidelines on the use of antibiotics have been made available by the Government of India in 2016. All clinicians, nursing homes and hospitals should effectively follow these guidelines to make the treatment of infections more appropriate. Indian Council of Medical research (ICMR) has set up six nodal centers across the country which are regularly monitoring the types of infections and their patterns of resistance in various areas of India.
It is important for the public to realize that they should not take antibiotics without proper prescription.