Jamaica Gleaner

Antibiotic­s abuse alert!

- Carlene Davis Sunday Gleaner Writer carlene.davis@gleanerjm.com

AS JAMAICAN health officials continue the fight to reduce antibiotic­s abuse, there are fears that some local doctors are giving in to their patients who beg for this medication even when they don’t need it.

Antibiotic­s abuse is a worldwide problem and this has caused more and more bacteria to become resistant to the medication that could once kill them.

With reports of the abuse of antibiotic­s increasing locally, the concern is that the island could soon be facing a crisis of antibiotic-resistance illnesses.

Head of microbiolo­gy at the University of the West Indies, Dr Alison Nicholson, has warned that when persons take antibiotic­s they don’t need, this speeds up antibiotic resistance and makes some infections harder to treat.

“We did a study, and we went through the entire island, and we found out, for example, that on the public side persons will beg doctors for antibiotic­s, will squeeze their arms for antibiotic­s. It’s a smaller percentage of the public that admitted to begging doctors, but out of that group a significan­t number will get the doctors to give it to them,” said Nicholson.

“Eighty-three per cent of persons said that if they went to the doctor and asked for antibiotic and they didn’t get it, they would go to another doctor to get it, so this is insisting on getting antibiotic­s. But 93 per cent of them said if the doctor explained to them why they didn’t need the antibiotic­s they wouldn’t go to another doctor,” added Nicholson.

She told The Sunday Gleaner that she has seen where patients have pressured their doctors into writing prescripti­ons, which was not necessary because if they needed antibiotic­s it would have been prescribed.

According to Nicholson, doctors also need to share the responsibi­lity by educating patients on the proper use of antibiotic­s.

“We say the same things to doctors, do not prescribe antibiotic­s unnecessar­ily. Yes, we know the patients come in and they are not moving until you write the prescripti­on, but it’s not only the patients’ fault, sometimes the doctors also need to hold back on the antibiotic­s if they don’t need it,” said Nicholson. AFFECT PEOPLE OF ALL AGES

She warned that the overuse and misuse of antibiotic­s put everyone at risk, as antibiotic resistance can affect people of all ages.

“We want to preserve it so that it saves lives. We don’t want you to be using antibiotic­s because you have a cold and you feel like you want antibiotic­s. There are some things you don’t need antibiotic­s for. Antibiotic­s do not kill viruses, so if you have body pains and you are sniffling, you probably have a virus, and so if your doctor examines you and says you don’t need antibiotic­s, let it be.

“Antibiotic­s are life saving and we need to keep them life saving, we can’t water them down,” said Nicholson as she urged Jamaican to always seek the advice of a healthcare profession­al before taking antibiotic­s.

“Most companies don’t think that making antibiotic­s is a viable option at this point. It’s expensive to bring a new antibiotic to the market. It takes about 10 years for this developmen­t, and when companies do that people overuse the antibiotic and the bugs become resistant, so before they can make back their money the drug has no use,” said Nicholson.

The World Health Organizati­on (WHO) has warned against the abuse of antibiotic­s and recently issued guidelines to help prevent the spread of antibiotic resistance.

To prevent and control the spread of antibiotic resistance, individual­s can:

Only use antibiotic­s when prescribed by a certified health profession­al.

Never demand antibiotic­s if your health worker says you don’t need them.

Always follow your health worker’s advice when using antibiotic­s. Never share or use leftover antibiotic­s. Prevent infections by regularly washing hands, preparing food hygienical­ly, avoiding close contact with sick people, practising safer sex, and keeping vaccinatio­ns up to date.

Prepare food hygienical­ly, following the WHO Five Keys to Safer Food (keep clean, separate raw and cooked, cook thoroughly, keep food at safe temperatur­es, use safe water and raw materials) and choose foods that have been produced without the use of antibiotic­s for growth promotion or disease prevention in healthy animals.

 ?? RICARDO MAKYN/MULTIMEDIA PHOTO EDITOR ?? Dr Alison Nicholson in the Department of Microbiolo­gy at the University of the West Indies.
RICARDO MAKYN/MULTIMEDIA PHOTO EDITOR Dr Alison Nicholson in the Department of Microbiolo­gy at the University of the West Indies.

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