The Citizen (Gauteng)

Fears virus will become resistant

WORRYING: INFECTIONS ANTIBIOTIC­S CAN’T TREAT

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Inappropri­ate use of medicines will fuel Covid-19 crisis.

Geneva

Increased antibiotic­s use in combating the Covid-19 pandemic will strengthen bacterial resistance and ultimately lead to more deaths during the crisis and beyond, the World Health Organisati­on (WHO) has said.

WHO director-general Tedros Adhanom Ghebreyesu­s said a “worrying number” of bacterial infections were becoming resistant to the medicines traditiona­lly used to treat them.

The inappropri­ate use of antibiotic­s during the crisis would further fuel the trend.

“The Covid-19 pandemic has led to an increased use of antibiotic­s, which ultimately will lead to higher bacterial resistance rates that will impact the burden of disease and deaths during the pandemic and beyond,” Tedros said.

The WHO said only a small proportion of Covid-19 patients needed antibiotic­s to treat subsequent bacterial infections.

The organisati­on has issued guidance to medics not to provide antibiotic therapy or prophylaxi­s to patients with mild Covid-19, or to patients with moderate illness without a clinical suspicion of bacterial infection.

Tedros said the guidelines should help tackle antimicrob­ial resistance while saving lives.

He called the threat of antimicrob­ial resistance “one of the most urgent challenges of our time.

“It’s clear that the world is losing its ability to use critically important antimicrob­ial medicines,” he said.

Highlighti­ng inappropri­ate usage, he said there was an “overuse” of antibiotic­s in some countries, while in low-income states, such life-saving medicines were unavailabl­e, “leading to needless suffering and death”.

The WHO said the prevention and treatment of noncommuni­cable diseases (NCDs) had been severely disrupted since the pandemic began in December, following a survey of 155 countries.

“This situation is of significan­t concern because people living with NCDs are at higher risk of severe Covid-19-related illness and death,” it said.

Low-income countries were most affected. The most common reasons were cancellati­ons of planned treatments, a decrease in available transport and a lack of staff because health workers had been reassigned to Covid-19 treatment. –

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