“You are suffering from common cold and you go to nearest
drug store and ask for medicine for cold. Along with common medicine like
paracetamol, cetirizine etc they always give you a high costing antibiotic
drug .” It is a common practice in India and many other countries where most patients are given strong
antibiotics where antibiotics have no role or very less role in treatment of a
particular disease. Almost one third of people all over the world believe that
antibiotics are effective for the common cold and the common cold is the most
common reasons antibiotics are prescribed .For my readers I want to tell that common cold is a viral disease and
antibiotics have no effect on viruses causing cold as antibiotics are only
effective against bacterial diseases(see refrences below for more info.).Beside different side effects, misusing
and overusing antibiotics kills good bacterias in your body, makes your defense
mechanism weak and also leads to antibiotic
resistance.
Antibiotic
resistance means “Antibiotic
resistance is resistance of a microorganism(bacteria) to an antibiotic medicine
to which it was previously sensitive. Resistant organisms (bacteria) are able
to withstand attack by antibiotics, so that standard treatments become
ineffective and infections persist and may spread to others. This is a
consequence of the use, particularly the misuse, of antimicrobial medicines and
develops when a microorganism mutates or acquires a resistance gene.”
This
means that a curable bacterial infection by an antibiotic will not be curable
now with same antibiotic and this may prove fatal if no new antibiotics
available. Nowadays, about 70 percent of the bacteria that cause infections in
hospitals are resistant to at least one of the drugs most commonly used for
treatment. Some organisms are resistant to all approved antibiotics and can
only be treated with experimental and potentially toxic drugs. An alarming
increase in resistance of bacteria that cause community acquired infections has
also been documented, especially in the staphylococci and pneumococci
(Streptococcus pneumoniae)
The
problem is that antibiotics resistance is happening faster than discovery of
new antibiotics. Mostly old antibiotics like penicillin are no longer effective
against most bacterial infections. You
may have heard about
NDM-1 superbug which
disables almost all antibiotics directed against it, leaving the bacteria in
which the gene appears vulnerable to only to imperfect and toxic drugs.
Recent news shows that a
totally Drug-Resistant TB emergeing in India.Assuming most bad situation it may happen birth of a new Bactria which is not
curable and spreads so fast that it shall end human race from Earth.
Wrong practices in
India: As I have told you that antibiotics overuse and misuse is common in
India. Many physicians and pharmacists in India prescribe you strong
antibiotics for mild infections and other diseases. But why! The answer is
simple, antibiotics profits more for retailers and marketers and physicians got
gifts or commission from them for prescribing medicine of a particular company
and particular drug retailer. This may sound bitter to physicians and druggists
who indulge in such bad practices but truth is always bitter. They have
forgotten their duty and prescribe such costly antibiotics (also other medicines)
also to poor peoples who cannot afford such costly drugs beside that they
really not needed for treatment. The physicians and pharmacists should not do
such things only to gain profit. I am
not taking that all physicians and pharmacists do such things, there are still
good ones for which their duty is at the top not money and I salute those good
ones.
Besides that people are also
responsible for it, leaving illiterate people even literate people self
prescribe antibiotics for them for minor infections which are self curable by
our defense mechanism of our body. A large number of people do not finish a
course of antibiotics primarily because they feel better. People have havoc
that a particular disease is not curable without an antibiotic. With all the
described ill effects it is also weakening
defense mechanism of current and future generations. In India antibiotics
can be purchased 'over-the-counter,' that is, without a prescription from a
doctor thus making condition worse. Most people in India will not do any exercise,
yoga and other preventive measures like eating healthy food, drinking clean
water but surely spend a lot on medicines.
Antibiotics
misuse and overuse also done to cure domestic animals. Drugs
are used in animals that are used as human food, such as cattle, pigs,
chickens, fish, etc., and these drugs can affect the safety of the meat, milk,
and eggs produced from those animals and can be the source of antibiotic
resistant bacteria. For example, farm animals, particularly pigs, are believed
to be able to infect people with Methicillin-resistant Staphylococcus aureus(MRSA).
MSRA is a type (strain) of staph bacteria that does not respond to some
antibiotics that are commonly used to treat staph infections. The resistant
bacteria in animals due to antibiotic exposure can be transmitted to humans via
three pathways, those being through the consumption of meat, from close or
direct contact with animals, or through the environment. The World Health
Organization concluded antibiotics as growth promoters in animal feeds should
be prohibited in the absence of risk assessments.
What should be done?
1.
Physicians and pharmacists should not
prescribe antibiotics where they are not necessary and also try to educate
common people about it.
2.
People should not try to become doctor
themselves, always consult a qualified physician if you suffering from a
disease.
3.
No antibiotics should be sold without
prescription of a physician.
4.
People should take only drugs prescribed to
them in prescribed quantity (no misuse and overuse.)
5.
Animals should only be given antibiotics on
prescription of animal doctor.
6.
Government should take action against such
wrong practices by physicians and druggists.
7.
Government should introduce common drug
knowledge in education system like in middle or high school levels.
8.
People should drink safe water, eat healthy food
and adopt cleanliness and other preventive measures because “Prevention is
better than cure.”
9.
People should adopt healthy habits like to
do exercise and yoga regularly.
With all these
measures I am sure that we can make a world free of diseases and antibiotic
resistance.
Thank
you!