‘Dangerously high’ antibiotic resistance levels worldwide: WHO

Published November 17, 2015
Geneva (switzerland): World Health Organisation director-general Margaret Chan addresses a news conference on the results of a multi-country survey on antibiotic use and antibiotic resistance, during the launch of a new global campaign on Monday.—Reuters
Geneva (switzerland): World Health Organisation director-general Margaret Chan addresses a news conference on the results of a multi-country survey on antibiotic use and antibiotic resistance, during the launch of a new global campaign on Monday.—Reuters

GENEVA: Antibiotic resistance, which can turn common ailments into killers, has reached dangerous levels globally, the World Health Organisation warned on Monday, saying widespread misunderstandings about the problem was fuelling the risk.

Antibiotic resistance happens when bugs become immune to existing drugs, allowing minor injuries and common infections to become deadly.

This happens naturally, but overuse and misuse of the drugs dramatically speeds up resistance, WHO said, voicing alarm at the results of a worldwide study showing that misconceptions about the threat are widespread, prompting dangerous behaviours.

“The rise of antibiotic resistance is a global health crisis. More and more governments recognise (it is) one of the greatest threats to health today,” WHO chief Margaret Chan told reporters, stressing that worldwide, resistance was “reaching dangerously high levels. “Chan pointed out that “super bugs haunt hospitals and intensive care units all around the world,” warning that the world is heading into “a post-antibiotic era, in which common infections will once again kill” .

Working antibiotics are also vital to protect babies born prematurely, people going through cancer treatments or undergoing routine surgery, she said, warning that if left unchecked drug resistance “will mean the end of modern medicine as we know it”.

WHO’s 12-country survey published on Monday found that nearly two thirds of all those questioned (64 per cent) believe wrongly that antibiotics can be used to treat colds and flu, despite the fact that the drugs have no impact on viruses.

The survey, conducted in Barbados, China, Egypt, India, Indonesia, Mexico, Nigeria, Russia, Serbia, South Africa, Sudan and Vietnam, also showed that 66 per cent believe there is no risk of antibiotic resistance for people who take their antibiotics as prescribed.

And nearly half thought antibiotic resistance was only a problem for people who take the drugs regularly, when in fact, anyone, of any age and anywhere, can get an antibiotic-resistant infection.

Around a third meanwhile believed it was best to stop an antibiotic treatment as soon as they felt better, rather than completing the prescribed course of treatment, the survey showed.

That is a dangerous misunderstanding, since uncompleted treatments increases resistance, and also threaten the recovery of the patient.

“Don’t stop halfway!” Chan said.

The survey results indicate that “one of the biggest health challenges of the 21st century will require global behaviour change by individuals and societies,” said Keiji Fukuda, the UN chief’s special representative on antimicrobial resistance.

“Antibiotics are really one of the miracles of the time that we live in.

They are a global good ... that we cannot take for granted,” he said. In a bid to correct misconceptions about the problem, WHO launched a campaign Monday called “Antibiotics: Handle with care”.

It aims to help alter a range of dangerous behaviours brought to light in the survey, including the ease of acquiring antibiotics without a prescription in some countries.

The survey showed for instance that five percent of Chinese respondents who had taken antibiotics in the past six months had purchased them on the Internet, while the same percentage in Nigeria had bought them from a stall or hawker.

In Russia, only 56 per cent of those who had taken antibiotics in the past year had them prescribed by a doctor or nurse.

WHO called on patients to only take antibiotics when prescribed by a doctor and to follow instructions exactly, and urged doctors to be more restrictive in their prescription of the drugs.

“Doctors need to treat antibiotics as a precious commodity,” Chan said.

Published in Dawn, November 17th, 2015

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