Child health in jeopardy over random use of antibiotics
Published: 06:07 PM, 12 February 2019
Daily Bangladesh Desk
Hasibul Karim lives with his family in capital’s Goran area. His 7-year-old daughter Rodela suffers from cold and cough often. Sometimes she gets high fever lasting four to five days. Karim went to a pediatrician, who prescribed seven-day antibiotic course for Rodela alongside normal medicine for fever.
“Children naturally don’t like to take medicine. Moreover it is very hard to complete the seven-day antibiotic course for them. Whenever we force her to take the antibiotic, she began crying, compelling us to leave the course incomplete, which, I think, is creating more risk for her,” Hasibul Karim said.
Antibiotics are very effective to treat infection, but it is losing its effectiveness through the random use.
According to a research conducted by International Centre for Diarrhoeal Disease Research, Bangladesh (icddr’b), the tendency of buying and taking antibiotics without prescription is growing rapidly. After feeling a little better, many people stop the course on its halfway.
The researchers fear that if this bad practice continues, one day these antibiotics will not work anymore as the intake of inadequate amount of antibiotics is affecting internal organs like kidney and liver and making human beings vulnerable to various diseases.
There is no statistics on the use of antibiotics in the country on national-level, but some researchers based on surveys carried out by Bangabandhu Sheikh Mujib Medical University (BSMMU) and Dhaka University stated the situation as dire.
In most cases, antibiotics are being used randomly in the case of treating pneumonia in children.
Researchers conducted a research on 80 children aged bellow five, who were suffering from pneumonia and came to a private hospital in the capital.
Among them, 28 (35.4%) were underweight, 14 (17.7%) were moderately underweight, and 13 (16.5%) were severely under-weight.
On the basis of WHO classification (2005), 43 children (54%) had severe pneumonia and 37 (46%) had very severe pneumonia, as diagnosed by the research physician.
A group of researchers from icddr’b, BRAC and Shaheed Tajuddin Ahmed Medical College Hospital conducted a research to know how much the physicians are following the guideline in treating the pneumonia affected children.
They observed that pediatricians are prescribing antibiotics of same dose to all the sick children without categorizing their type of pneumonia. Physicians are even prescribing them high dose of antibiotics without any necessary test.
World Health Organisation (WHO) in a recent report expressed its fear that the microbes are becoming more and more antibiotic resistance though random use, which will cause death from minor infection and wounds.
WHO released the report after collecting data from 114 countries across the world. In the report, researchers mentioned about ‘post-antibiotic era’, where they said if necessary steps were not taken immediately, it would not be possible to evade the disaster.
Despite the WHO pneumonia treatment strategy, the inappropriate use of higher-generation cephalosporin and carbapenem was high in the study hospital. The results underscore the compliance with the WHO guidelines of antibiotic use and the importance of enforcing regulatory policy of the rational use of antibiotics for treating hospitalized children with pneumonia. Following these guidelines may help prevent increased antimicrobial resistance.
Paediatric of Dhaka Medical College Professor M Abid Hossain Mollah referring to the WHO policy said children under five cannot intake Azithromycin, a macrolide-type antibiotic which is used to treat a wide variety of bacterial infections.
It is like a crime to prescribe high power antibiotic at the beginning of any disease, as no other medicine would work further if the antibiotic did not work, said Sir Salimullah Medical College and Hospital child specialist Dr Abdul Mannan.
According to WHO, due to Antibiotic resistance in people, there is an estimation over 7.5 lakh people die every year and the number will raise to 10 lakh by 2050 as common infections and minor injuries are claiming lives, raising a concern in the post-antibiotic era.
Emphasizing the need for using the proper use of antibiotic the experts said the doctors need to evaluate the effectiveness of their treatment and antibiotic must be prescribed only if needed.
- Mahbubur to die for killing Ranada Prasad Shaha
- How US aggressively flexed its cyber warfare powers under Trump
- US carried out cyberattacks on Iran: reports
- UN warns of telecom blackout cover for Myanmar military abuses
- Verdict on Ranada Prasad Shaha murder case today
- Say Alhamdulillah
- Young hacked to death for a hundred bucks
- Clean tech fair begins promoting environment friendly metals
- Balakot air strikes planner new R&AW chief now
- Gayle confirms retirement plans are on hold
- Democrats seeks $4.5bn aid for boarder migrants
- Nusrat murder case: Death threat to witnesses
- Two youth electrocuted in Bogura
- Expatriate to jail praying bail
- Trump warns any conflict with Iran `wouldn`t last long`
- President urged to protect rights of physically challenged people
- 1 kg heroin seized in Rajshahi, youth detained
- Ershad in ICU
- Surath Kumar made Chief Information Officer
- Bill before finishing project
- Pakistan restrict New Zealand to 237
- Breakfast miss! It rises risk of death: study
- Abahani making history beating India 1-0
- PM embarks on five-day China visit Monday
- Two to walk gallows for raping girl in Shariatpur
- Photos of drowned father and daughter spark global outrage
- PM fears safety disruption in Rohingya return dilatory
- Arrest warrant against 78 in DU question leak
- Rabindra University: HC bars VC, 3 other to run activities
- Bogura road crash kills schoolboy
- All News »
- General Aziz - A Dedicated Golfer Army Chief
- Sarafa Infotech’s new director Soroj Mehedi
- AL to make it`s 70th anniversary memorable
- Mushfiqur`s ton in vain as Bangladesh lost to Australia
- ‘No Dorai’: Surfing base film with Chatgaiya language
- PM inaugurates environment fair, tree plantation campaign & tree fair
- No exempt, although it is MP-Minister’s house: Rezaul
- 3 farmers killed in Natore road crash
- Say Alhamdulillah
- Hajj cost in Bangladesh less than India: Minister
- Happy birthday to football magician Messi
- 2 female RMG workers’ bodies recovered in Ashulia
- Take development schemes protecting environment: PM
- Boat capsizes at Sadarghat: two minors’ body recovered
- Female UP member hacked to death in N’ganj
- Williamson ton, Grandhomme power New Zealand in thriller
- Gold, Diamond, Silver gets validation in fair
- Arrest warrant against Pran’s MD
- Fire at Cumilla EPZ
- Malaysia calls for ‘justice’ for Rohingyas
- UN praises Bangladesh peacekeepers
- PM’s China visit in July; plan to boost bilateral ties
- ‘King of Pop’ Michael’s 10th death anniv today
- Primary recruit exam: 6 held over fake question trafficking
- Habiganj municipality by-election underway
- Birth anniversary of poet Sufia Kamal today
- Argentina and Qatar set for crucial Copa America match
- Kulaura train crash: Three deceased identified
- Rail communication to be normal by evening: Secy
- Heartbreaking photo of dead migrants stirs outrage