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Re: Next Topic for Discussion: Rational use of Antimicrobials

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Dear Dr Trupti, Congrats for selecting an interesting topic for moderation. Antibiotics are the "wonder-drugs"of this century.However, there has been more of misuse rather than rational use of this class of drugs by the clinicians. The factors that contribute to resistance to antibiotics could be: - use of antibiotics for viral infections like cough, cold, dirrhoea (viral)... - use of broad spectrum antibiotics for minor infections - improper doses and duration - non-compliance by the patient - use of irrational combinations - use of antibiotics without culture and sensitivity More in coming posts Anupama.Trupti Swain <drtruptiswain@...> wrote: Friends, After a vibrant discussion on “Medicine price in India-”moderated by Dr

Anita Kotwani, I welcome you all for yet another topic of immense Community importance. Antibiotics have been called the single most important therapeutic discovery in the history of medicine. But to ensure their survival, organisms started developing resistance. Death due to infection is still the leading cause of death in developing countries. Significant global burden of resistant hospital -acquired infections adding to this problem. Resistance to first line drugs for most of the pathogens ranges from 0-100%.New antibiotics are expensive. Thus for common People it means that -People cannot be effectively treated -People are ill for longer -People are at great risk of dying -Epidemics are

prolonged -Increased cost of health care Can we halt antimicrobial resistance? Answer probably is - No It can only be contained. But best option would definitely be prevention of

infection. But how to contain this problem? Friends lets discuss this issue. highlights of this discussion may be: - Problem of Antimicrobial resistance - Factors contributing to this burden - Surgical Prophylaxis of Antimicrobials - Irrational Antibiotic combinations - Economic aspect of antimicrobial Use - Antibiotics use in special groups like pregnancy & pediatric population - Antibiotic policy & Therapeutic guidelines Anything more to be added? I invite all our esteem members to put forth their views and suggestions on these important aspects of Antimicrobial use. Trupti Swain Orissa Be a better friend, newshound, and know-it-all with Mobile. Try it now.

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