antibiotic policy description

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2. ANTIBIOTIC POLICY
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3. Why we need Antibiotic
Policy….
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4. 1.Pharmaceutical industry
• Commercial interests of Pharmaceutical
industry pushing the Antibiotics use
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5. 2. The role of animal feed antibiotic
additives
• Antibiotics were added to animal feeds to promote
growth, It will ultimately results in promoting
resistance.
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6. 3. Carbapenems a real threat
Source ; Nature ( International Journal of Science)
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7. 4. Creation of SUPERBUGS
• Antimicrobial resistance is a serious global challenge.
Every continent and country faces the antibiotic resistant
“super bugs,” though the extent and the severity of the
problem varies.
• There could be a return to the pre-antibiotic era, where
many people could suffer or die from untreatable
bacterial infections
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8. 5. Treated without Coordination
• When the patients to be treated by several specialists,
multiple antibiotics were prescribed.
• Drug Antagonism : It is a mechanism by which one
drug inhibits the action of another drug
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9. 6.Poverty and Drug Resistance
• Poverty encourages drug resistance due to under
utilization of appropriate Antibiotics.
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10. Aim of Antibiotic Policy
• Reduce the Antimicrobial resistance
• Initiate best efforts in the hospital area as many
resistance bacteria's are generated in Hospital areas and
in particular critical care areas.
• Initiate good hygienic practices so these bacteria do not
spread to others
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11. An antibiotic policy will:
• Improve patient care by promoting the best practice in antibiotic
prophylaxis and therapy,
• Make better use of resources by using cheaper drugs where
possible
• Retard the emergence and spread of multiple antibiotic-resistant
bacteria.
• Improve education of junior doctors by providing guidelines for
appropriate therapy
• Eliminate the use of unnecessary or ineffective antibiotics and
restrict the use of expensive or unnecessarily powerful ones
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12. The Strategies:
a. Complete ban on sale of antibiotics without
prescription throughout the country.
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13. b. Education On Antibiotic policy
• Acton plan for Education to all concerned clinical staff on
Antibiotic prescriptions.
• Evaluate the feed back of success and failures of the policy.
• Create Infection surveillance data
• Developing facilities in Microbiology departments for
auditing data and guidance
• Restrictions in prescribing and Antibiotic availability.
• A continuous education to Junior Doctors
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14. c. Strategies to Address Antimicrobial
Resistance (STAAR) Act
• Enhancement of the STAAR Act, which will
strengthen the response to antimicrobial resistance
through enhanced leadership, surveillance, research,
and data collection
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15. d. Role of Microbiology Departments
• Microbiology labs should issue hospital Antibiogram at
pre-defined intervals.
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16. e. The system of notification of
communicable diseases
• The system of notification of communicable
diseases is a popular, established, though not
strictly followed system in the country.
• Multidrug-resistant bacteria, must be considered
as a notifiable entity.
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17. f. Monitoring on Colistin
• Strict monitoring on the usage of colistin,
currently the most precious antibiotic in an era of
increasing drug resistance.
• Note: It is an antibiotic used as a last option for the treatment
of multidrug resistant microorganisms
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18. Notifying Pan Resistant Microbes and
Superbugs
• Pan-drug-resistant microbes are characterized by the
bacterial strain with sensitive to 1-2 potential active
drugs or resistant to all current antibacterial agents
• Superbugs are strains of microorganisms that are
resistant to most of antibiotics
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19. Role of Medical Council of India
• One of the main reasons for the inappropriate antibiotic
usage by Indian doctors is the lack of adequate training
on the subject during undergraduate and post-graduate
courses.
• This deficit in the basic training can only be overcome
if there is a change in the curriculum.
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20. WHONET
Documentation
Why We Need It
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21. What is WHONET
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• WHONET is a free software developed by the WHO
Collaborating Centre for Surveillance of Antimicrobial
Resistance for laboratory-based surveillance of infectious
diseases and antimicrobial resistance.
• The principal goals of the software are:
1. to enhance local use of laboratory data; and
2. to promote national and international collaboration
through the exchange of data.

22. • The understanding of the local
epidemiology of microbial
populations;
• the selection of antimicrobial
agents;
• the identification of hospital and
community outbreaks;
• and the recognition of quality
assurance problems in laboratory
testing.
Whonet helps in ……
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23. 30-10-2021 Dr.T.V.Rao MD 23