Re: Inappropriate use of AM in community

[Guest guest]

---

Hi everyone, common cold does not require any antibiotics but let's

face it ,how many of us have used antimicrobials for common cold? A

lot I am sure.Let the change start from us first!!

ph Fadare

Physician/Clinical Pharmacologist (nigeria)

In netrum , " 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]

Good afternoon!

Inappropriate use of antimicrobials is very common today.This is due

to to varous reasons.

This could be

using second line drugs instead of first line drugs

using more than 2 or 3 drugs where you coould treat with one drug

using antimicrobials in viral infections

This has serous implications not only on the individual who is not

taking antimicrobials properly but also the entire population will be

affected due to emergence of resistannce.

From the patient point of view:

Patients do not like to comply on advice givern by doctors due to many

reasons.

And they don't have faith on their own immunity system which is

sufficient to get away from many illnesses.They are also afraid

whether it is going to worse their condition without antimicrobials at

the begining of the illness

Gayani

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,

Dr. Katheey , you are doing a very well done job in Rational Use of

Medicines.

We do appreciate your efforts.

> > >

> > >

> > > 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 Netrum Members,

I agree completely that there are many players involved in the

inappropriate use of antibiotic medicines in the community

especially in children. I however believe that an intervention

targeted at mothers will have the maximal effect especially in our

country. Why? The mothers spend more time with the children, they

are the ones that hire the househelps mostly (girls) and also give

them their job descriptions. It is the mothers that interact with

the childrens teachers and more often when the child desires

attention at odd times, it is the mother tha gives such. Therefore

we such focus our intervention on inappropriate antibiotic drug use

in children to a gereater degree on the Mothers.

Falang

In netrum , " Rajendra D.Diwe " <rajendradiwe@...>

wrote:

>

> 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]

> >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

> >

>

> Mauri Desai,

In Kiribati, almost anyone can have get/demand for Amoxycillin

(e.g), and they think it is their right.

So what happened so far is we are trying to push finalising the

STG's for the hospital level, revising health manuals for rural

health clinics along with developing guidelines on 'drug management

(receiving, storing,ordering, recording and reporting. we hope that

this could bring major habit changes to healthworkers initially, so

when rational use promotion comes, they will support ...hopefully.

Ioana

>

>

>

>

> ---------------------------------

> Chat on a cool, new interface. No download required. Click here.

>

[Guest guest]

i agree with you falang. hut we have to classify this into urban settings and rural settings. this is because in urban settigns for example, it is the house helps who take care of children and give them medicines. the mothers often do not have time. sometimes it is even the gousehelps that buy the medicnes of come to the hospitals with the sick children. so we have to establish who the real players are according to the settings.

edwine

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

Hi Netrum Members,I agree completely that there are many players involved in the inappropriate use of antibiotic medicines in the community especially in children. I however believe that an intervention

targeted at mothers will have the maximal effect especially in our country. Why? The mothers spend more time with the children, they are the ones that hire the househelps mostly (girls) and also give them their job descriptions. It is the mothers that interact with

the childrens teachers and more often when the child desires attention at odd times, it is the mother tha gives such. Therefore we such focus our intervention on inappropriate antibiotic drug use in children to a gereater degree on the Mothers.

FalangIn netrum , " Rajendra D.Diwe " <rajendradiwe@...> wrote: >> 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]

If the Govt start control over pricing of third and fourth generation AM, then might be pharmaceuticals companies not promote it to non qualified persons , or if some how the margin of profit is made to be equal for all type of AM and then if industry can be convinced of the effect that third & fourth generation AM are having on the social health, then we can expect some change, but the main thing is that we need to include pharmaceutical industrial persons in the scenario to show them the effect of there doings. Tema <johntema@...> wrote: 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> > > > >> > > >> > > >> > > >> > >> >> > > >> Looking for last minute shopping deals? Find them fast with Search. Regards, Rehman Founder Pharma-World Group

Unlimited freedom, unlimited storage. Get it now

[Guest guest]

hello all its really a good topic to discuss..a hot burning ... point put forwarded by Mr. rajendra dive is really grave. Nobody consider rural people. they are just like outcast. we have to come forward to make them aware of rational use of antimicrobials. there is concept of " bare foot docotrs in preventive and social medicine..same way, we can have "bare foot workers" who can work at grass root level. Dr. sarang Dr. narendra Dr. Smita resident in pharmacology Govt. medical College nagpur "Rajendra D.Diwe" <rajendradiwe@...> wrote: Respected Kunda Madam,Thank You very much Kunda Mdadm for a real prompt reply. It is very much possible to conduct the awareness in small groups. In addition suppose we select some social forums like Senior Citizens group in my Nagpur it will definitely help us to save the community at least to some extent.But the real gravity of the problem is in rural part of our country. In rural areas where the market is dominated by the dispensers and as you know that there are many pharmaceutical companies in India, to be more precise there are 25,000 pharmaceutical companies in India. For each company the antibiotics are the bread and butter to get profit. The companies are focusing specifically on rural areas. They are dumping the doctors with the Antimicrobials.

These third or fourth generation antimicrobials are being used by the rural dispensers to the patients. When these patients with some serious illness come to cities to see the consultants, their problem gets aggravated and they develop resistance to the antimicrobials. The classic examples is seen, when a patient from a remote area of Gadchiroli came recently to one of the best surgeon in Nagpur. This patient was suffereing from the wound, which was not healing. The surgeon tried to give the antimicrobials but they had not worked. When the pathological tests were done the patient was found resistance to antimicrobials. The infection was Psudomonos. Who is responsible to this condition?RajendraDR.SARANG DESHMUKHJR-1 PHARMACOLOGYROOM NO.40NEW PG HOSTELGMCNAGPUR-440003

Never miss a thing. Make your homepage.

[Guest guest]

Hallo! The PRUDC Jaipur(2008) course is very much informative and and also useful not only for my research but it will be also helpful fpr my community to educate and to reduce irrational use of medicine Dr AnuradhaVijay <drvijaythawani@...> wrote: HiThe 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> >>

Now you can chat without downloading messenger. Click here to know how.

[Guest guest]

Dear NetRUMians,

Thank you for the useful comments and posers, i hope i am forgiven for

my lateness! AM are life-savers but patently abused especially in the

third world countries mostly in Africa where people can obtain any drug

without prescription. There are no doubt problems with the approach of

many clinicians in Africa too, sometimes they merely prescribe AM

without cogent reasons! What with the people who hawk AM on the bus

and by the side of the street. Guidelines are also lacking even in

tertiary hospitals everybody does what s/he wants. I think the

cleansing must evolve from the top and percolate down, first the

regulatory and policy makers, thereafter professionals-doctors,

pharmacists, nurses etc and patients/people including children, perhaps

a programme on basics of rational drug use in schools, why not, this is

a big problem or potentially so?

Regards,

Dr Fatai FEHINTOLA,

Ibadan, NIGERIA

>

>

> 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

>