This presentation is prepared for school health awareness programme on antibiotic resistance. This includes introduction to antibiotic, antibiotic save lives, side effects of antibiotics and detail description about antibiotic resistance. This presentation is mostly focus on prevention of antibiotic resistance.

1. Antibiotic Resistance
;DalGw ljBfno
:jf:Yo;r]tgfsfo{qmd
२०७३
GARP Nepal
Nepal Public Health Foundation

2. tkfO{nfO{ antibiotics
sf] af/]df s] yfxf 5
<<<<

3. kl/ro
 ;'IfhLjf0f'sf];+qmd0fsf lj?4df k|of]u x'g] cf}iflwnfO{
PG6Ljfof]l6s elgG5 .
Antibiotics eg]sfZflQmZffnLcf}iflwx?x'g .
 Antibiotics x? @);f}+ ZftfAbLsf rdTsfl/s cf}iflwx? x'g .
 Penicillin klxnf]antibioticxf] h'g !(@*df Alexander
Fleming n] kQf nufPsf lyP.
 Antibioticsx?df ;+qmd0f /f]Sg ;Sg] Ifdtf x'G5.

4. kl/ro cont.…
• /f]usf]pkrf/ / /f]usf] /f]uyfd sf lglDtantibiotic x? dfgj / hgfj/b'j} df
k|of]u ul/G5
• Antibiotic x?sf] k|of]u a[bL ljsf;sf lglDts[lif/ hgfj/x?df klg k|of]u ul/G5

6. d'vaf6 v'jfpg] (tablets, capsules or syrup, suspension)
oL antibiotics x?gd| b]lv dWod vfnsf;+qmd0fx?df k|of]u x'G5g .
aflxl/Zfl//dfnufpg] (creams, lotions, sprays or drops)
logLx? cfFvfsfg/ 5fnfsf] ;+qmd0fdf k|of]u ul/G5g .
;'O{ åf/f lbg] ( Injection)
;fdfGo tof w]/} uDeL/ ;+qmd0f df k|of]u ul/G5g
Antibiotics k|sf/ x?

7. s] PG6Lafof]l6sx?n] ;a} /f]ux? la?4df sfd u5{gt<<<
ub}{gg ÛÛÛÛ= antibioticx? la;f0f' -virus_åf/f x'g] ;+qmd0f cyjf /f]ux?df sfd
ub}{gg .
h:t} pbfx/0f
 Varicella (chicken pox)
 Rubella (German measles)
 The common cold
 Hepatitis
 Mumps

8. PlG6afof]l6sx?n] hLjg arfp+5===(Antibiotics Save Lives)
;fr} antibioticx? rdTsfl/s cf}iflwx?x'g h:fn]cgluGtL
nfvf}+ dflg;x?sf] Hofg hf]ufPsf] 5
!($@kl5 penicillinn] dfq @)) nfv dflg;sf] Hofg
hf]ufPsf] 5
!($$/ !(&@sf] lardfantibioticsf]sf/0fn] dflg;sf] cf};t
cfo' ( life expectancy)cf7jif{n] a9]sf] lyof] .

9. BUT Too Much of Everything is as bad as too little
t/ cTolws w]/} x'g' klg yf]/} x'g' h:t} g/fd|f] xf]

10. s]lx d'Vo c;/ x? o; k|sf/5g:
PG6Lafof]l6ssf c;/x?
 Efmf8fkvfnf -Diarrhea)
 k]6 km'Ng] / ckr x'g]
(Bloating and
indigestion)
 k]6 b'Vg] (Abdominal
pain)
 ef]s gnfUg] (Loss of
appetite)]
 afGtf x'g] (vomiting)
 lrnfpg] /3fp x'g]
(Itching skin rashes)
 vf]sL nfUg]
(Coughing)
 8/nfUbf] lr8lr8fx6 x'g]
(allergic reaction)
 Thrush (candidiasis)

11. Antimicrobial resistance

12. Antibiotic
Resistance

13. Antibiotic sf] w]/} k|of]u(overuse) /b'?kof]usf(Misuse)
sf/0f……..
Antibiotic Resistance

14.  PlG6afof]l6s k|lt/f]w(Antibiotics Resistance) eGgfn] ;'Id hLjf0f'x?n] /f]ulg/f]ws
cf}iflw ;+uug]{k|lt/f]wxf,] h'g cf}ifwL jf:tadf Tolx hLjf0f'x?af6 nfUg] /f]ux?sf]pkrf/dfk|efjsf/L
x''Gy] .
PlG6afof]l6s k|lt/f]weg]sf] PlG6afof]l6sx?sf] c;/nfO{k|lt/f]wug]{AofS6]l/ofx?sf]Ifdtf xf] .
Antibiotic k|lt/f]w(Resistance) eg]sf]s] xf] t???

16. धेरै जीवाणुहरुमा
मा के हह औषधध
प्रतिरोधक हुन्छन
एन्न्िबायोहिकहरुले
संक्रमणबाि बचाउन
रोग लगाउने र नलगाउने
दुवै जीवाणु लाई माछछ

17. Antibiotic Resistances (k|lt/f]w)v]t b]lv 6]a'n ;Dd

18. lsg 5 t Antimicrobial ResistanceljZjsf] rf;f] <<<
 ljZjdf clxn] gofF gofF k|lt/f]wsf (resistance) k|lqmofx? k|s6 eO{ a9b} hfFbf
xfd|f] ;fwf/0f ;+qmd0fsf] ;d]t pkrf/ ug]{ ;fdYo{df vt/f k}bf u/]sf] 5 . h;sf] sf/0fn]
pkrf/af6 ;fdfGo hLjg latfpg ;Sg] dflg;x?df klg d[To' / c;Iftfsf] hf]lvd a9b}
uO/x]sf]5 .
;+qmd0f la?4sf] k|efjsf/Lpkrf/sf] cefjn],y'k|}:t/Lo pkrf/sf ljlwx?c;kmntyf
hf]lvd k"0f{ x'b} uO/x]sf5g .
 Antibiotic resistancea9b} uP/ ;dfhsf nflu7"nf] hg:jf:Yo ;d:of x+'b}
uO/x]sf] 5 h;sf] sf/0f la/fdLb/, d[To" b/ / nfut -cost_a9b} uO/x]sf]5 .

19. Antibiotics Resistance sf]cj:yf
o'/f]k /cd]l/sfdf dfq} k|Tos aif{
PlG6afof]l6s k|lt/f]wsfsf/0f %),)))sf]
d[To' x'g]u/]sf] 5 .
AofS6]l/ofsf] ;+qmd0f, dn]l/of, Ifo/f]u/
PrcfO{eL h:tf /f]ux?dfePsf] cf}iflw
k|lt/f]wsf]sf/0f ljZjdfk|To]s jif{slDtdf
&)))))dflg;x?n] Hofg u'dfO/x]sf5g .
blIf0f k"jL{Pl;og b]zx?df nfvf}+ dflg;x?
k|lt/f]wLk/hLjLsf](resistant
parasite)hf]lvddf 5g .

20.  :jf:YosdL{x?n] rflxg]eGbf a9L dfqfdf PlG6afof]l6s tf]Sg] -l;kmfl/;_/ lat/0f
ugf{n]
 la/fdLx?n]tf]lsPsf] cjlw;Dd cf};lwgvfO{ lbgfn]
 kz'wg,t/sf/L v]lt / df5f kfngdf PlG6afof]l6ssf] clwsk|of]u ugf{n]
 :jf:Yo;+:yfx?n] ;+qmd0f lgoGq0fdf nfk/jfxLugf{n]
 :jR5tf/ ;/;kmfO{sf] sldn]
 gofF PlG6afof]l6sx?sf] ljsf;gx'gfn]
Antibiotic resistance ;+s6 lgDTofpg] ^ sf/s tTjx?

21. Antibiotic Resistance (k|lt/f]wsf)c;/x?
 nf]df];do ;Dd /f]ulgsf]gx'g]
 nfdf];do;Dd pkrf/ug'{kg]{
 d[To"b/(Mortality) a9g]
 pkrf/sf]nfludxFuf]cf}iflw(expensive drugs) rflxg]
 :jf:Yo k|0ffnLdf(health system) af]ema9g]5
 :jf:Yo If]qsfpGgtk|lalwx?;d]tc;kmnx'g];Defjgfa95,. h:t}
7"nf7"nfzNolqmofx?
k|Tof/f]k0f/cGo
 la/fdLdflg;k|lt/f]wLhLjf0f'sf];+sns-reservoir of resistant organism_ eP/;dfh/
:jf:YosdL{x?df;fg]{sfdu5{g.

22. What can be done???

23. PlG6afof]l6s k|lt/f]wdftkfO{sf]e"ldsfs] t <<<
k|dfl0ft :jf:YosdL{åf/fl;kmfl/; ul/Psf]cf}iflw dfq k|of]u ug]{
 ;~rf]ePsf]dx;'; ePtfklg l;kmfl/; ul/Psf]cf}iflw 8f]h k'¥ofP/vfg]
 afFsL /x]sfantibioticx?k'g k|of]u gug]{
 cfkm"n]k|of]u ug]{PlG6afof]l6s c?s;}nfO{k|of]u ug{glbg] / c?n]k|of]u
ug]{antibiotic cfkm"n]klg k|of]u gug]{
 ;+qmd0faf6 ;w}aRg'k5{ . To;sf]nflu lgoldt xftw'g], la/fdL dflg;sf] clt
3lgi7 eP/ga:g], tyf rflxg] ;a}vf]k nufpg] .

24. 1. k|dfl0ft :jf:YosdL{åf/f l;kmfl/; ul/Psf] cf}iflw dfq
k|of]u ug]{

25. 2. ;~rf] ePsf] dx;'; ePtf klg l;kmfl/; ul/Psf] cf}iflw 8f]h
k'¥ofP/vfg]

26. 3. csf]{ k6sk|of]u ug{ antibiotics ;lr+t gug{'xf];

27. 4. Antibioticsx? Ps csf{nfO{ af8g] (share) gu/f}+

28. 5. tf]s]sf] pkrf/ ;do ;ls;s] kl5 af+sL /x]sf] cf}ifwL
TofUg'xf];

29. 6. Antibiotics sf]cfjZostf36fpg ;+qmd0fsf] /f]syfd
 ;+s|d0f Go'lgs/0f //f]syfd af6 Antibiotic resistance 36fpg ;lsG5 . h;sf nflu
xftw'g]  :j:Yf /xg]
;kmf kflg k|of]u ug]{ jtfj/0f;kmf /fVg]
:jf:Yo ;:Yffdfx'g] ;+s|d0f 36fpg] vf]k nufpg]
lj/fdL cyjf /f]lu af6 6f9f/lx ;+s|d0f x'g af6aRg]
Antibiotics should be the last line of defense

30. Antibiotic resistance comic….