IMA advises doctors to follow strict guidelines for antibiotic prescription

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The role of antibiotics should be discussed in an informed consent
New Delhi, 25th December 2017: India still faces the problem of multi-drug resistance due to widespread and indiscriminate use of antimicrobial and antibiotic drugs. This is despite the setting up of a National Anti-Microbial Resistance Research and Surveillance Network (AMRRSN) to enable compilation of data of such resistance at different levels of healthcare and publishing of treatment guidelines for anti-microbial use in common syndromes. This network was set up by the Indian Council of Medical Research (ICMR).
There is also a growing concern about the increasing prevalence of antibiotic resistance that has made it difficult to treat many bacterial infections. Considering this, the IMA has advised doctors to follow strict guidelines while prescribing antibiotics. The IMA has advised its members to mandatorily restrict the usage of antibiotics for treatment of proven bacterial infections. It has also brought out a policy on anti-microbial resistance.
Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, “When prescribing antibiotics, clear instructions should be given to the patient about no refill of antibiotic prescription without the signature of the doctor. The role of antibiotics should be discussed in an informed consent. As per our policy, doctors should not prescribe antibiotic cover or prophylactic antibiotic without a high degree of clinical suspicion. No antibiotics should be prescribed for small bowel diarrhea, fever with cough and cold, dengue, chikungunya, malaria and fever with rashes. However, early initiation of antibiotics is the rule in suspected sepsis bacterial pneumonia meningitis and confirmed tuberculosis cases.”
One of the biggest reasons for the misuse of antibiotics is buying them over the counter without consultation with a doctor.
Adding further, Dr Aggarwal, said, “Before prescribing antibiotic always ask yourself: Is it necessary? What is the most effective antibiotic? What is the most affordable antibiotic? What is the most effective dose? What is the most effective duration for which the antibiotic should be administered?”
Some other strategies to combat antibiotic resistance are as follows.
Practice rational use of drugs antibiotics
Use when needed and according to guidelines
Avoid broad spectrum antibiotics without appropriate diagnosis
Prevent infections with the use of vaccination and by improving basic hygiene including hand hygiene and infection control techniques and sanitation in health care settings as well as in the community
Farmers and food industry must stop using antibiotics routinely to promote growth and prevent disease in healthy animals to prevent the spread of antibiotic resistance.

IMA advises doctors to follow strict guidelines for antibiotic prescriptionThe role of antibiotics should be discussed in an informed consentNew Delhi, XX December 2017: India still faces the problem of multi-drug resistance due to widespread and indiscriminate use of antimicrobial and antibiotic drugs. This is despite the setting up of a National Anti-Microbial Resistance Research and Surveillance Network (AMRRSN) to enable compilation of data of such resistance at different levels of healthcare and publishing of treatment guidelines for anti-microbial use in common syndromes. This network was set up by the Indian Council of Medical Research (ICMR). There is also a growing concern about the increasing prevalence of antibiotic resistance that has made it difficult to treat many bacterial infections. Considering this, the IMA has advised doctors to follow strict guidelines while prescribing antibiotics. The IMA has advised its members to mandatorily restrict the usage of antibiotics for treatment of proven bacterial infections. It has also brought out a policy on anti-microbial resistance.Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, “When prescribing antibiotics, clear instructions should be given to the patient about no refill of antibiotic prescription without the signature of the doctor. The role of antibiotics should be discussed in an informed consent. As per our policy, doctors should not prescribe antibiotic cover or prophylactic antibiotic without a high degree of clinical suspicion. No antibiotics should be prescribed for small bowel diarrhea, fever with cough and cold, dengue, chikungunya, malaria and fever with rashes. However, early initiation of antibiotics is the rule in suspected sepsis bacterial pneumonia meningitis and confirmed tuberculosis cases.”One of the biggest reasons for the misuse of antibiotics is buying them over the counter without consultation with a doctor. Adding further, Dr Aggarwal, said, “Before prescribing antibiotic always ask yourself: Is it necessary? What is the most effective antibiotic? What is the most affordable antibiotic? What is the most effective dose? What is the most effective duration for which the antibiotic should be administered?”Some other strategies to combat antibiotic resistance are as follows.Practice rational use of drugs antibiotics Use when needed and according to guidelines Avoid broad spectrum antibiotics without appropriate diagnosis Prevent infections with the use of vaccination and by improving basic hygiene including hand hygiene and infection control techniques and sanitation in health care settings as well as in the community Farmers and food industry must stop using antibiotics routinely to promote growth and prevent disease in healthy animals to prevent the spread of antibiotic resistance.