Antimicrobials resistance: need for a rational approach
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2015, Vol 1, Issue 1
Abstract
In current scenario world is entering into the antibiotic resistant era. Serious infections caused by bacteria are increasingly becoming resistant to the currently available antimicrobial agent. These infections are not only causing morbidity and mortality but also leads to financial burden to the individual, society and ultimately to the nation. The greater concern is spread of these infections from hospitals to the community. Microbes have developed resistance to nearly all different classes of antibiotics discovered till date. Resistance found commonly is acquired and transmitted horizontally via the conjugation of a plasmid. Recently new mechanisms of resistance have resulted in the simultaneous development of resistance to several antibiotic classes creating very dangerous multidrug-resistant (MDR) bacterial strains, some also known as ‘‘superbugs’’. Indiscriminate and inappropriate use of antimicrobial in outpatient clinics, hospitalized patient and in livestock is the most important factor for antimicrobial resistance. Recently pharmaceutical industries have slowed or terminated their anti-infective research programs due to economic reasons. This decrease in the number of new antimicrobial along with the antimicrobial resistance has triggered the post antibiotic era i.e., age when the antibiotics will be the thing of past. Now it is high time to think about formulating the strategies by the industry, academia and the government for safe and effective use of antibiotics.
Authors and Affiliations
Hitesh Mishra, Harihar Dikshit
A case of sarcoidosis misdiagnosed as tuberculosis
Abstract Sarcoidosis is a multisystemic chronic granulomatous disease of unknown origin, which can involve nearly all organs. In India tuberculosis is one of the common chronic infectious diseases presenting with high d...
The Experience of Managing Posterior Urethral Valve (PUV) over a period of 5 years: A single centre study at a tertiary care centre in Bihar
Abstract Objective: To evaluate the clinical presentation, management, complications, surgical management and long term outcome of Posterior urethral valve. Methods: A retrospective study was done on 203 patients of Post...
Free Vascularized Fibular Graft for Treatment of Segmental Ulnar Bone Loss: A Case Report
Various methods, such as Illizarov bone transport, allogenic bone grafts, bone graft substitutes,vascularized bone transfers etc are available in treating segmental bone loss. Free vascularised fibular graft is an autogr...
LIPID PROFILE IN DYSLIPIDEMIC POPULATION OF BIHAR TAKING STATIN
Atherosclerosis is the most important cause of cardiovascular disease and is associated with deposition of atherogenic lipoprotein in vessel wall. This study was intended to study the lipid profile in dyslipidemia patie...
GENITOURINARY TUBERCULOSIS : SPECTRUM OF PRESENTATION
Between August '07 and December ' 14 , 48 cases of genitourinary tuberculosis have been managed in the Department of Urology IGIMS, Patna. An audit of diagnostic criteria utilized is presented. It was observed that the i...