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Antibiotic Resistance: ICMR advises hospitals to avoid three antibiotics


Antibiotic Resistance: ICMR advises hospitals to avoid three antibiotics

CHENNAI: To prevent the misuse of antibiotics and its drastic consequences in terms of antibiotic resistance, the Indian Council of Medical Research (ICMR)  was recently seen advising  tertiary care hospitals in South India to should avoid three major antibiotics from regular use

 The three antibiotics thus identified include Carbapenems, polymyxin and colistin. ICMR has adviced that these antibiotics should be kept in a “low-use” zone in the tertiary care hospitals

The ICMR  has suggested that these three antibiotics should be kept in high need zone and used as the last resort in critically-ill patients to ensure they don’t become redundant, as confirmed antibiotic stewardship committee chairman Dr Dilip Mathai to TOI.

Ensuring the low use of these antibiotics, Dr Mathai said, “Every prescription for these drugs should be approved by an internal committee or another physician before being administered to patients.”

In a meeting held with ICMR, officials teams from five tertiary care hospitals, each comprising a doctor, nurse, microbiologist, pharmacist and administrator, were present in order to to draft or improve action plans for the internal stewardship committees.

The hospitals include Apollo Hospitals in Chennai, Christian Medical College, Vellore, JIPMER, Puducherry , Nizam’s Institute of Medical Sciences, Hyderabad, Manipal Hospitals, Mangalore, and Amrita Institute of Medical Science, Kochi.

Dr. Dilip further said,  “Poor infection control and lack of rational use of antibiotics may soon make ICUs a hot bed for infections.”

During the meeting, the hospitals have been advised to follow the instructions as they were advised to follow the procedures from top to tip.

Explaining the each and everyone’s responsibilities ICMR epidemiologist Dr Kamini Walia said, first hospitals have advised to first frame the policy and spread it thoroughly. While microbiologists will prepare a list of common infections, drug-resistant infections and effective antibiotics based on periodic study , doctors will be asked to pick the `best bet’ drug to treat infections before sending the patient’s blood sample for detailed analysis.

” The list of antibiotics will vary for hospitals as the infections may be different,” she said, speaking to TOI

 




Source: With inputs
7 comment(s) on Antibiotic Resistance: ICMR advises hospitals to avoid three antibiotics

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  1. I agree that most Hospitals away from metros do not maintain sterility and don\’t even have HEPA filter and don\’t have two Icu so that one may be closed for sterilisation every 3 days. This is the main reason for usage of such drugs.

  2. Meropenem sulbactam is life saving and without which most septicaemia patients will certainly die. Nobody prescribes it without necessity because they r too costly. In my opinion, lack of prescribing them leads to many deaths. Rarely i prescribe colistin , polymyxin or tigecycline which should certainly be avoided till meropenem fails and should be costly to suppress rampant use.

  3. user
    Vijayaraghavan April 20, 2017, 9:31 pm

    I am perfectly at ease with any policy as long as it can be implemented full. Firstly, the oft used habit of promoting newer antibiotics to GP\’s who give only one or two doses should be stopped. Secondly, antibiotics beyond a particular level should not be available at clinics or should be only available at hospitals. Thirdly, the very issue of surgical prophylaxis is questionable. If I give only one or three doses of antibiotics in a so called, surgical prophylaxis, am I not inducing possible resistance in his microbiota due to under use of antibiotics? SO obviously, resistance can develop! Secondly, how is it correct to decide that 5 day or 7 day or whatever that has been arbitrarily decided as a true course of antibiotics is correct? I am not sure, but it is so confusing after nearly 4 decades in medicine that I seem to be following age old practices that are unquestionably being followed.

  4. Sir, yours is a Very logical and practical advice to avoid antibiotic resistance.

    I have seen prescriptions for third generation antibiotics to treat a simple URTI. Strict prescription practices, strict implementation of rules at the level of pharmacies, have to be followed very urgently.

  5. user
    Dr. Beena Sahu April 20, 2017, 8:54 pm

    It\’s really important to emphasise the rationale use of antibiotics and develop guidelines for their use.

  6. Report of culture and sensitivity must be there before administration of any antibiotic