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Mult Drug – Resistant (MDR) Infections Biggest Threat To Patients Amid Pandemic: Dr Naresh Purohit

Bhopal 29.11.2021. Multi Drug-Resistant (MDR) infections have in recent years become a deadly problem. The threat has grown as various germs — notably bacteria and fungi — have mutated and developed defenses that allow them to resist medications and thrive; the germs prey in particular on elderly patients and the immunocompromised, limiting drug options to counter infections or, in extreme cases, leaving no effective treatments.
Increasing secondary infections caused due to bacteria and fungi have been seen after Covid19 infections on the body, said an expert.
National Communicable Disease Control Programme – Advisor, Dr Naresh Purohit revealed in his recent report in the Annals of Medicine stating that antimicrobial resistance (AMR) can induce up to 10 million global deaths every year by 2050 and force 28 million people into poverty. Further, our health systems will be overburdened because drugs will lose their efficacy due to the buildup of AMR.
Eminent Public Health Expert Dr Purohit averred that the Covid19 virus of the SARS-Cov 2 genre was no longer in the body but the bad bacteria in the body were contracted by them from the catheter sites, ventilation tubes and other machines to aid the body in its functioning and these were attacking the organs and resisting the effect of antibiotics on the body.
He said in his report that the resistance of bacterial organisms and pathogens leads to treatment challenges. Seriously infected patients do not respond to second and third generation antibiotics.

Dr Purohit pointed that untreated hospital wastewater is a heady cocktail of antibiotics and other drugs and, if untreated, can be a hotspot for drug-resistant pathogens known as superbugs. The blaNDM-1 superbug, more commonly known as the New Delhi superbug, was found in the wastewater outfalls of hospitals and sewer drains of the country’s capital.
He added that as expected, the concentration of the superbug was much higher in the wastewater outfalls of clinical settings. Subsequently, the superbug has spread to over 70 countries, including the pristine Arctic Circle. Such instances call for pronounced wastewater surveillance so as to prevent hospitals from turning into hotbeds of AMR.
He averred that poor sanitation and hygiene coupled with unclean drinking water expedite the natural mutation process in microbes, thereby speeding AMR.
He urged the Drug Controller of India to take stringent steps to control dispensation of high-end drugs like steroids, Schedule H drugs and other antibody cocktails .

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