[e-drug] The Threats of Bacterial Resistances (3)

e-drug
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E-DRUG: The Threats of Bacterial Resistances (3)
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Dear Danielle Deidun:

You have raised very important points. The complexity of the problem is beyond limit. You have said, 'rural community lacks access to health care and indeed medicines and it is often the case that you can't tell a patient to sit tight and if other symptoms develop to return to the clinic for other treatment as it may have involved an arduous journey to get to you in the first place, so you find yourself in a position to give something "just in case".' This is a practical problem that prescribers and dispenser are facing in developing countries and I believe there would be many others too. Personally, I believe that it is legitimate for prescribers and dispensers to fully use their wisdom and professional judgments to resolve such practical problems as it is both morally and professionally acceptable norm of practice. The question here is as to whether or not the prescribers and the pharmacists make the basis of their decision on ethical and professional standards.

The question that you have raised is the heart of the theme, How best can we impress the rest of the health community and the public the importance of this problem? and I agree with your statement, 'The issue of antimicrobial resistance has only started to be taken seriously in the developed world gradually over the past decade.' The change is a process and gradual but the journey should somehow be started. If nothing started today, then when? If we start sowing something today, we will have something to harvest tomorrow. So, it is great to share our concerns and promote the problem. This may lead us to a solution.

Best regards.
Gidey Amare
gideyam@yahoo.com

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E-DRUG: The Threats of Bacterial Resistances (4)
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Dear all,

The issue raised by Gidey Amare is very relevant and appropriate. The
problem is invisible to many of us unless one concisouly attempts to know
about the antibiotic resistance problem. One of colleague from china
(veternary pharma researcher) has expressed that the antibiotics usage in
veternary practice/dairy produce animals is also rampant and erratic, which
indirectly may lead to antibiotic resistance among population. However,
since it has not reached critical level and not enough research being done,
we are not aware of its effects.

Nevertheless, we need more number of research and evaluations to understand
the magnitude of the problem and its public health implications.

With warm regards,

Dr Sathyanarayana
Faculty,
Public Health Foundation of India
Opposite Nalanda Junior College
Vengalrao Nagar
Hyderabad. 500038
Ph:91-9490126043
Email:drsathya1@gmail.com
www.phfi.org