Icmr studies data to fight drug resistant infections

1. ICMR studies data to fight
drug-resistant infections
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2. Contd..
Antibiotic resistance data from four big hospitals s being studied and analysed or
the first time in India to help forecast drug-resistance patterns that may surface in
uture. The Indian Council for Medical Research (ICMR) has been on the resistance
trail since last year. It had set up six nodal centres at four hospitals -two at PGI,
Chandigarh, and Christian Medical College, Vellore, and one each at All India
Institute of Medical Sciences (AIIMS) in Delhi and JIPMER, Puducherry .
The ICMR's antimicrobial surveillance and research network has been tracking
resistance pattern of six pathogens causing diarrhoea, typhoid, fungal nfections and
infections that patients acquire in hospitals.
“We initiated these proects in early 2014 and we are now analysing the first year's
data. We did not have a nationally representative data on pathogens that cause
80% of infections. It is important to get a handle on what is the drug resistance
prevalence n these six pathogenic groups,“ said Dr Kamini Wa lia from the division
of epidemiology and communicable diseases, ICMR.
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3. Contd..
The data will be used to forecast the drug-resistance pattern to guide
clinicians, she added.
There is alarm over rising resistance to antibiotics in India, largely attributed
to their indiscriminate use to treat routine infections like cough, cold and
fever and their over-the-counter availability. Using antibiotics inappropriately
, such as stopping the dosage mid-course has added to the resistance.
There are broad estimates and observations so far -resistance to
carbapenem (the strongest class of antibiotic) is 50 to 60% and in the case of
acenotobacter (a hospital bug) seen among ICU patients, the resistance is 70
to 80%.However, there is no accurate resistance data, with most hospitals
not reporting such figures, fearing an impact on patients' footfall.
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4. Contd..
“The project would help design a standard treatment guideline and
physicians will be able to decide what antibiotic should be given,“ Dr Walia
said.
The surveillance and research network will expand to 15 more hospitals
across the country , which will feed their data into these centres that will in
turn map the resistance pattern.
“In India, there are no statistics. Anyone who comes to the clinic or OPD is
not tested for microbiological examination. A test is conducted only in the
case of in-patients,“ V Balaji, head of microbiology , CMC, Vellore said.
Though there is an antibiotic policy in place since 2011, officials said that
surveys have revealed the compliance was restricted only a to few hospitals.
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