Re: Inappropriate use of AM in community

[Guest guest]

This is really a relevant topic of discussion. Thank you for carrying

out the discussions on this topic. But in my country BHutan, we are

using Antimicrobials very rationally.

>

>

> Hi NetRUMians,

>

>

> This is exclusive topic for discussion today 28 March, from 4 to 5 PM

> (Indian time).

> All NetRUMians are encouraged to participate.

>

> Please use the given subject in the subject heading for this

discussion.

>

> Vijay

>

> Groupie

>

[Guest guest]

i agre with chimmi, i work in a childrens hospital in kenya, and the use of antimicrobials in children with common cold is very rampant. what are the experiences in other countries?

On 3/28/08, chimirinzi <chimirinzi@...> wrote:

This is really a relevant topic of discussion. Thank you for carrying out the discussions on this topic. But in my country BHutan, we are using Antimicrobials very rationally.

>> > Hi NetRUMians,> > > This is exclusive topic for discussion today 28 March, from 4 to 5 PM> (Indian time).> All NetRUMians are encouraged to participate.>

> Please use the given subject in the subject heading for this discussion.> > Vijay> > Groupie>

[Guest guest]

Hi,

All are requested to start the p[ostiong with some greeting and end

the mail with writing their name and affiliation to fascilitate

identification.

Thanks

Vijay

> >

> >

> > Hi NetRUMians,

> >

> >

> > This is exclusive topic for discussion today 28 March, from 4 to

5 PM

> > (Indian time).

> > All NetRUMians are encouraged to participate.

> >

> > Please use the given subject in the subject heading for this

> discussion.

> >

> > Vijay

> >

> > Groupie

> >

>

[Guest guest]

>

>

> Hi NetRUMians,

>

>

> This is exclusive topic for discussion today 28 March, from 4 to 5 PM

> (Indian time).

> All NetRUMians are encouraged to participate.

>

> Please use the given subject in the subject heading for this

discussion.

>

> Vijay

>

> Groupie

>

[Guest guest]

Hi,

Common cold does not require any treatment.

Using AM in common cold is highly iorrational.

Such use leads to unnecessary consumption, develops AM resistance,

creates unwanted ADRs, adds futile expenditure and therefore should

not be encouraged.

Vijay

> > >

> > >

> > > Hi NetRUMians,

> > >

> > >

> > > This is exclusive topic for discussion today 28 March, from 4

to 5 PM

> > > (Indian time).

> > > All NetRUMians are encouraged to participate.

> > >

> > > Please use the given subject in the subject heading for this

> > discussion.

> > >

> > > Vijay

> > >

> > > Groupie

> > >

> >

> >

> >

>

[Guest guest]

-Hi netrumians

This is quite an interesting topic to me and it has actually presented

challenges for me in my area of practice. In our clinic, an ARV

clinic, with often have a situation where a patient will A quinolone

antibiotic,cotrimoxazole, metronidazole and anti tuberculosis drugs

all simultaneously. I have often not been comfortable with this but

wonder at what step of the drug use process Iam to intervene?

Thank you

Pharm Falang -- In netrum , " Vijay "

<drvijaythawani@...> wrote:

>

>

> Hi NetRUMians,

>

>

> This is exclusive topic for discussion today 28 March, from 4 to 5 PM

> (Indian time).

> All NetRUMians are encouraged to participate.

>

> Please use the given subject in the subject heading for this

discussion.

>

> Vijay

>

> Groupie

>

[Guest guest]

Hello NetRUMians,

This is a very serious problem in the community and should therefore

be extensively discussed.

It is one of the reasons responsible for drug resistance and treatment

failure in the community.

Thank you.

Opanuga Olabisi

-- In netrum , " Vijay " <drvijaythawani@...> wrote:

>

>

> Hi NetRUMians,

>

>

> This is exclusive topic for discussion today 28 March, from 4 to 5 PM

> (Indian time).

> All NetRUMians are encouraged to participate.

>

> Please use the given subject in the subject heading for this

discussion.

>

> Vijay

>

> Groupie

>

[Guest guest]

>Mauri (Greetings) Vijay,

It has been a very interesting training happening this whole week

especially with the inappropriate use of AM in the community.

From my perspective, AM inappropriate usage has to be tackled from all

corners. That is from the individual, to community, then health worker

and the policy makers.

This topic is one chronic drug use problem that has been affecting all

parts of the world since the initial periods of AM. This means the

patient is either not getting the right AM for a certain disease at

the right dose, and duration at an affordable cost.

>

It is going to be a big challenge me initiating this Rational AM use

but it is worth a go.

Ioana Taakau

> Hi NetRUMians,

>

>

> This is exclusive topic for discussion today 28 March, from 4 to 5 PM

> (Indian time).

> All NetRUMians are encouraged to participate.

>

> Please use the given subject in the subject heading for this

discussion.

>

> Vijay

>

> Groupie

>

[Guest guest]

>

>

> Hi,

This tropic is realy relavent. we have to provied some guid line to

community.

Niranjan

[Guest guest]

>Hi , good evenning

I just joined to Natrum

you nare doing a good job

good luck

Jeevantha

> Hi,

> All are requested to start the p[ostiong with some greeting and end

> the mail with writing their name and affiliation to fascilitate

> identification.

> Thanks

> Vijay

> Hi, good evening ,

[Guest guest]

the challenge with developing interventions for innapropriate use of medicines in children is that there are very many players:mothers, fathers, hired househelps, teachers, so who should be targeted?

On 3/28/08, Vijay <drvijaythawani@...> wrote:

Hi,Common cold does not require any treatment.Using AM in common cold is highly iorrational.Such use leads to unnecessary consumption, develops AM resistance, creates unwanted ADRs, adds futile expenditure and therefore should

not be encouraged.Vijay > > >> > >> > > Hi NetRUMians,> > >> > >> > > This is exclusive topic for discussion today 28 March, from 4

to 5 PM> > > (Indian time).> > > All NetRUMians are encouraged to participate.> > >> > > Please use the given subject in the subject heading for this> > discussion.

> > >> > > Vijay> > >> > > Groupie> > >> >> > > >>

[Guest guest]

> > >

> > >

> > > Hi NetRUMians,

> > >

> > >

> > > This is exclusive topic for discussion today 28 March, from 4

to

> 5 PM

> > > (Indian time).

> > > All NetRUMians are encouraged to participate.

> > >

> > > Please use the given subject in the subject heading for this

> > discussion.

> > >

> > > Vijay

> > >

> > > Groupie

> > >

> >Hi, I still didn't receive any reply from you

I hope that you are getting my messages with out any problem.

lookin forward to hearin from you

Jeevan

>

[Guest guest]

Hi

The microbes are very intelliogent, more smarterthan us. Humans do

not have the capacity, capability so we look at microbes to provide

us the antimicrobials. They develop resistance because we commit the

follies. They outsmart our innovative capabilities and prove that

humans are just novices. If we do not use the AM rationally, the

minisculecreatures will have last laugh and we the highest in the

echelons of animal kingdom will be doomed. Wake up freinds and stop

the irrational use of AM.

Vijay

> >

> >

> > Hi NetRUMians,

> >

> >

> > This is exclusive topic for discussion today 28 March, from 4 to

5 PM

> > (Indian time).

> > All NetRUMians are encouraged to participate.

> >

> > Please use the given subject in the subject heading for this

> discussion.

> >

> > Vijay

> >

> > Groupie

> >

>

[Guest guest]

i agree with ioana, the interventions have to be multipronged in the sense that they have to be from diffent angles otherwise the efforts will be futile

On 3/28/08, idtaakau <idtaakau@...> wrote:

>Mauri (Greetings) Vijay,

It has been a very interesting training happening this whole week especially with the inappropriate use of AM in the community. From my perspective, AM inappropriate usage has to be tackled from all corners. That is from the individual, to community, then health worker

and the policy makers.This topic is one chronic drug use problem that has been affecting all parts of the world since the initial periods of AM. This means the patient is either not getting the right AM for a certain disease at

the right dose, and duration at an affordable cost.> It is going to be a big challenge me initiating this Rational AM use but it is worth a go.Ioana Taakau> Hi NetRUMians,

> > > This is exclusive topic for discussion today 28 March, from 4 to 5 PM> (Indian time).> All NetRUMians are encouraged to participate.> > Please use the given subject in the subject heading for this

discussion.> > Vijay> > Groupie>

[Guest guest]

Hello takkau, Nice to receive ur mail. You are right , this has been a chronic problem affecting world wide. In appropriate use of antimicrobials also means prescribing even when not indicated or using in sub-ptimal doses. tell us about ur observations at ur country ? Mira desai >Mauri (Greetings) Vijay,It has been a very interesting training

happening this whole week especially with the inappropriate use of AM in the community. From my perspective, AM inappropriate usage has to be tackled from all corners. That is from the individual, to community, then health worker and the policy makers.This topic is one chronic drug use problem that has been affecting all parts of the world since the initial periods of AM. This means the patient is either not getting the right AM for a certain disease at the right dose, and duration at an affordable cost.> It is going to be a big challenge me initiating this Rational AM use but it is worth a go.Ioana Taakau> Hi NetRUMians,> > > This is exclusive topic for discussion today 28 March, from 4 to 5 PM> (Indian time).> All NetRUMians are encouraged to participate.> > Please use the given subject in the subject heading for this discussion.> >

Vijay> > Groupie>

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[Guest guest]

--- hello everyone, the microbes are are already causing big

problems for us and if care is not taken, the tiny microbes will

give us humans a knock out!!

ph

In netrum , " Vijay " <drvijaythawani@...> wrote:

>

> Hi

> The microbes are very intelliogent, more smarterthan us. Humans do

> not have the capacity, capability so we look at microbes to

provide

> us the antimicrobials. They develop resistance because we commit

the

> follies. They outsmart our innovative capabilities and prove that

> humans are just novices. If we do not use the AM rationally, the

> minisculecreatures will have last laugh and we the highest in the

> echelons of animal kingdom will be doomed. Wake up freinds and

stop

> the irrational use of AM.

> Vijay

>

> > >

> > >

> > > Hi NetRUMians,

> > >

> > >

> > > This is exclusive topic for discussion today 28 March, from 4

to

> 5 PM

> > > (Indian time).

> > > All NetRUMians are encouraged to participate.

> > >

> > > Please use the given subject in the subject heading for this

> > discussion.

> > >

> > > Vijay

> > >

> > > Groupie

> > >

> >

>

[Guest guest]

Attn Falang, and hello to all,

if you are facing such a problem why dont you discuss with your seniors or the decision makers of your facility which should be backed by true facts and figures then you will be able to convince them that there is really somethindg wrong going on and yes surely change will come about.

kunda

>> > Hi NetRUMians,> > > This is exclusive topic for discussion today 28 March, from 4 to 5 PM> (Indian time).> All NetRUMians are encouraged to participate.> > Please use the given subject in the subject heading for this discussion.> > Vijay>

> Groupie>

Get the freedom to save as many mails as you wish. Click here to know how.

[Guest guest]

Dear Sir,

Thank You very much for choosing the most relevant and important

topic of the 21st century. Irrational or inappropriate use of

mAnitmicrobials are very common in number of countries all over the

world. In India, it is a country which is having huge population,

70% of the same are not getting their bread and butter for the two

times in a day. In such situation, the medical practitioners are

busy in prescribing the antimicrobials which are not at all required

in very common diseases like cough, cold and fever.

There should be a nationwide mass awareness programme to curtail

such practices of prescribing of Antimicrobials to the patients by

the doctors.

>

> the challenge with developing interventions for innapropriate use

of

> medicines in children is that there are very many players:mothers,

fathers,

> hired househelps, teachers, so who should be targeted?

>

> On 3/28/08, Vijay <drvijaythawani@...> wrote:

> >

> > Hi,

> > Common cold does not require any treatment.

> > Using AM in common cold is highly iorrational.

> > Such use leads to unnecessary consumption, develops AM

resistance,

> > creates unwanted ADRs, adds futile expenditure and therefore

should

> > not be encouraged.

> > Vijay

> >

> > > > >

> > > > >

> > > > > Hi NetRUMians,

> > > > >

> > > > >

> > > > > This is exclusive topic for discussion today 28 March,

from 4

> > to 5 PM

> > > > > (Indian time).

> > > > > All NetRUMians are encouraged to participate.

> > > > >

> > > > > Please use the given subject in the subject heading for

this

> > > > discussion.

> > > > >

> > > > > Vijay

> > > > >

> > > > > Groupie

> > > > >

> > > >

> > > >

> > > >

> > >

> >

> >

> >

>

[Guest guest]

so we all agree that antimicrobial misuse is a big problem in the community. but has someone to cared to understand the reasons for this misuse. it is only if we undersatand the reason that we can formulate effective interventions

Edwine

On 3/28/08, dokita007 <dokita007@...> wrote:

--- hello everyone, the microbes are are already causing big problems for us and if care is not taken, the tiny microbes will give us humans a knock out!!ph In netrum , " Vijay " <drvijaythawani@...> wrote:

>> Hi> The microbes are very intelliogent, more smarterthan us. Humans do > not have the capacity, capability so we look at microbes to provide > us the antimicrobials. They develop resistance because we commit

the > follies. They outsmart our innovative capabilities and prove that > humans are just novices. If we do not use the AM rationally, the > minisculecreatures will have last laugh and we the highest in the

> echelons of animal kingdom will be doomed. Wake up freinds and stop > the irrational use of AM.> Vijay>

> > >> > > > > > Hi NetRUMians,> > > > > > > > > This is exclusive topic for discussion today 28 March, from 4 to > 5 PM> > > (Indian time).

> > > All NetRUMians are encouraged to participate.> > > > > > Please use the given subject in the subject heading for this > > discussion.> > > > > > Vijay

> > > > > > Groupie> > >> >>

[Guest guest]

Hallo! Antimicrobial use is more common in community due to many factors like at easy availability, perception of the individiual, cost of the medicine, belief of the individiual, availablility\ & accessibility of antimicrobials, poor information, at health poor prescribing pracrtices, lack of drug dupply, lack of training, non availability of Essential Drug Lisl or Standard Treatment Guideliunes. Sometimes antimicrobials are misuse e.g. antimicrobials are used for the treatment of viral infection, overuse e.g. unnecessary prolong use of antimicrobials or inappropriate use e.g. inadequate dose, frequency or duration. All these factors lead to resistance to antimicrobials, therapeutic failure and unnecessary expenditure to the consumers. In present day situation, it is important to educate the prescriber, dispenser and community. Policy makers should

take some rgulatory steps to reduce inappropriate use of antimicrobials. Dr Anuradha Vijay <drvijaythawani@...> wrote: Hi NetRUMians, This is exclusive topic for discussion today 28 March, from 4 to 5 PM (Indian time).All NetRUMians are encouraged to participate. Please use the given subject in the subject heading for this discussion. Vijay Groupie

Download prohibited? No problem. CHAT from any browser, without download.

[Guest guest]

---

hello everyone, we must work for the promotion of rational use of

AM.Already health care costs are increasing in my country, Nigeria

and a lot of information, education and communication needs to be

carried out.I hope we will get some suppport from the WHO and all

other agencies when we start this process.

ph fadare

physician/clinical pharmacologist (Nigeria)

In netrum , " rantiopanuga " <rantiopanuga@...> wrote:

>

> Hello NetRUMians,

> This is a very serious problem in the community and should

therefore

> be extensively discussed.

> It is one of the reasons responsible for drug resistance and

treatment

> failure in the community.

> Thank you.

>

> Opanuga Olabisi

>

>

> -- In netrum , " Vijay " <drvijaythawani@> wrote:

> >

> >

> > Hi NetRUMians,

> >

> >

> > This is exclusive topic for discussion today 28 March, from 4 to

5 PM

> > (Indian time).

> > All NetRUMians are encouraged to participate.

> >

> > Please use the given subject in the subject heading for this

> discussion.

> >

> > Vijay

> >

> > Groupie

> >

>

[Guest guest]

Hi,

To which extent you have succeeded in giving the awareness in

community of India for the high risk of inappropriate use of

Antimicrobials.

> > >

> > >

> > > Hi NetRUMians,

> > >

> > >

> > > This is exclusive topic for discussion today 28 March, from 4

to

> 5 PM

> > > (Indian time).

> > > All NetRUMians are encouraged to participate.

> > >

> > > Please use the given subject in the subject heading for this

> > discussion.

> > >

> > > Vijay

> > >

> > > Groupie

> > >

> >

>

[Guest guest]

in my contry, antimicrobial drugs are used rationally further iwould

like to strengthen on this usage after going back to my contry.

chimi......

In netrum , " Vijay " <drvijaythawani@...> wrote:

>

>

> Hi NetRUMians,

>

>

> This is exclusive topic for discussion today 28 March, from 4 to 5 PM

> (Indian time).

> All NetRUMians are encouraged to participate.

>

> Please use the given subject in the subject heading for this

discussion.

>

> Vijay

>

> Groupie

>

[Guest guest]

Hi

I agree with you we dont seem to have a choice than to

use the AMs rationally otherwise we will loose the

battle. All netRUMians should make it a point if duty

to educate people in our committee on the rational use

of AMs and the consequencies of irrational use of AMs

Concerning the PLHA, they are on so many medicines

including AMs as required by their conditions. There

is the danger of irrational use either due to

financial reason, pill burden, disease burden,

polypharmacy, use of alternative medicines amongst

other reasons. This may lead to cross resistance to

other drugs, transmisiion of resistance strains etc.

How do we help these paatients.

--- Vijay <drvijaythawani@...> wrote:

> Hi

> The microbes are very intelliogent, more smarterthan

> us. Humans do

> not have the capacity, capability so we look at

> microbes to provide

> us the antimicrobials. They develop resistance

> because we commit the

> follies. They outsmart our innovative capabilities

> and prove that

> humans are just novices. If we do not use the AM

> rationally, the

> minisculecreatures will have last laugh and we the

> highest in the

> echelons of animal kingdom will be doomed. Wake up

> freinds and stop

> the irrational use of AM.

> Vijay

>

> > >

> > >

> > > Hi NetRUMians,

> > >

> > >

> > > This is exclusive topic for discussion today 28

> March, from 4 to

> 5 PM

> > > (Indian time).

> > > All NetRUMians are encouraged to participate.

> > >

> > > Please use the given subject in the subject

> heading for this

> > discussion.

> > >

> > > Vijay

> > >

> > > Groupie

> > >

> >

>

>

>

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[Guest guest]

Dear sir,

to tackle such problem such as irrational use of third or fourth line antimicrobial is not an easy task for a biggger country such as INDIA. if we want change then change takes times and effort.

thanks

keep in touch

TEMA

Re: Inappropriate use of AM in community

Dear SirWhen it is recommended by WHO in their essential drug list that the third or fourth generations of Cephalosporins should be used judiciously. Also these specialised antimicrobials should not be promoted to the non-qualified doctors. But in India it is a practice that the medical representatives engaged in selling the brands of Cephaolsporins, are promoting these specialised drugs to the doctors having degree in Ayurvedic systsm, or Unani or Homoeopathic system of medicines. Can any body suggest me what to do to stop the pharmaceutical companies to from promoting the Cephalosporins to the medical practitioners?> > > > >> > > > >> > > > > Hi

NetRUMians,> > > > >> > > > >> > > > > This is exclusive topic for discussion today 28 March, from 4> > to 5 PM> > > > > (Indian time).> > > > > All NetRUMians are encouraged to participate.> > > > >> > > > > Please use the given subject in the subject heading for this> > > > discussion.> > > > >> > > > > Vijay> > > > >> > > > > Groupie> > > > >> > > >> > > >> > > >> > >> >> > > >>

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