Health ministry approves Rs 30 crore antimicrobial resistance program

Written By Unknown on Jumat, 04 Oktober 2013 | 22.44

NEW DELHI: With rising resistance of first and second generation antibiotic resistance in common bugs, the health ministry has approved a Rs 30 crore surveillance plan that includes setting up of 30 laboratories.

The project will be undertaken initially in Delhi and then expanded to other states in a phased manner. The surveillance program will include training of microbiologists, lab technicians, clinicians, pharmacists and others.

Indiscriminate use of antibiotics has resulted in many pathogens turning unresponsive to first and second generation drugs. Stemming from this need is the establishment of the national program on containment of anti-microbial resistance. According to a senior health ministry official, ``Under this program a network of 30 quality assured laboratories for anti-microbial resistance surveillance would be established. Each laboratory will be provided Rs 15-20 lakh for equipments, reagents and manpower per year.''

India's antibiotic policy drafted in 2011 in the wake of reports on enzyme metallo-beta lactamase 1, first detected in a Swedish patient of Indian origin, has not been implemented. There have since been numerous reports on drug resistance, including claims by a Mumbai doctor of total drug resistance in TB bacteria that did not eventually pass scrutiny by the Indian health establishment and the WHO.

The National Centre for Disease Control (NCDC) will monitor and review the program. It will also establish the "national hospital infection control guidelines' which will be disseminated to hospitals for implementation.

An awareness program for dissemination of information about rational use of antibiotics has also been planned.

According to the WHO, fragmented health services and lack of access to quality-assured medicines at an affordable price often leads patients to take incomplete courses of treatment or to resort to sub-standard medicines, which create ideal conditions for the selection of resistant organisms. While poor provider knowledge and a lack of standard treatment guidelines are key contributors to improper antimicrobial prescription practices, the problem stems from a complex interplay of factors to educate heath care workers and general population.


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