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Antibiotics Overview
Antibiotics are powerful medicines that fight certain infections and can save lives when used properly.
Antibiotics Mechanism
Antibacterial action includes the inhibition or regulation of enzymes involved in cell wall biosynthesis, nucleic acid metabolism.
Antibiotics Resistance
In 1930, when the modern era of chemotherapy began, it felt as if infectious diseases appeared to be all but conquered.
In recent times, there has been a rapid increase in the resistance to drugs used to treat tuberculosis, malaria, influenza, gonorrhea, urinary tract infections and so on. The rapid spread of antibiotic resistance will make the treatment of the disease extremely difficult and will cause increased disability and death. The morbidity and mortality caused due to the resistance will differ from country to country.
We at Cipla urge the doctors to make rationale use of anti-biotic. It is essential that we save antibiotics. For the same reason, mono-therapy must be suggested. An efficient communication must take place between the doctors and the patients with regards to usage of one antibiotic. Moreover, they must actively promote monotherapy. This will help to save antibiotics.
  • Spreading the awareness
  • Taking the pledge
  • Saving the Future
Antibiotic misuse, sometimes called antibiotic abuse or antibiotic overuse is a serious but mostly neglected problem in the current era. With the increase in irrational usage of antibiotics on a day to day basis, the chances of antibiotics resistance is very high in India. It is assumed by an ICMR study that 50% of the antibiotics are less sensitive against some or the other microbes. Misuse of high-end antibiotics for common health conditions is rampant in hospitals and among people. Antibiotics Resistance is the major problem among medical fraternity as the chances of antibiotic resistance is high in the today’s scenario. Even Government and many NGOs are working towards rational use of antibiotics.
  • Principle 1

Asking your patients about their medical history

Regardless of the age of a patient, obtaining a good history helps in proper diagnosis. History taking is an art which differs from doctor to doctor. Every doctor has his/her own style of gathering information. Information on social circumstances and lifestyle in addition to medical and family history becomes vital when assessing a patient’s health.

Most of the patients do not open up to the doctor, and some of them hide past medical experiences. As a doctor, you must get a patient to share his heart out. Patients in India often lean towards self-medication thereby consuming antibiotics without a proper prescription. As a doctor, you must ask your patient about their medical history and the usage of penicillin or other antibiotics.

source: National Institute of Aging

Knowing about the gold standard of history taking

It is rightly said, listen to your patients, they are telling you the diagnosis. A true history comes out when a patient is free with the doctor. Good communication between the two may lead to a much better diagnosis than a one-sided input. Good consultation skills involve going beyond prescriptive history taking. As a doctor when you ask a patient about his/her medical history you should be well-versed about the gold standard of historical enquiry.

Remember, while taking a patient’s history, attention is the key. Making eye contact with patients, listening carefully and recording minute details will help both – doctor and the patient. Open-ended questions will help a patient to share freely and not just answer in a simple Yes or No.

source: Patient.info

Allow the patients to express themselves

Most of the patients before they visit a doctor have a pre-constructed narrative in mind. They know what they have to speak and thus have it memorised. As a doctor, it is important that you listen to them carefully and do not abruptly end their narrative. Most of the times, when interrupted, patients forget what they wanted to convey which leads to poor treatment.

When it comes to history taking, it is important for a medical practitioner to check whether his views match with that of the patient’s. Do not ask leading questions. These questions are not properly answered by the patients as they are a result of your assumptions. Thus, you must try avoiding it as much as possible.

source: National Institute of Aging

Elements that go in a proper history taking

Medical history taking is an art. Every doctor tries his/her best to help patient share his problems. However, most of them fail due to negligence or unwillingness of a patient to participate actively in a conversation. History taking is an art, and there is a checklist that a doctor can maintain to see if he adequately consulted a patient or not?

  • Family History
  • Medical History
  • History of Antibiotic usage
  • Summarising
  • Concluding

The aforementioned points are just an example of how each doctor can maintain his/her specific checklist so to diagnose a patient efficiently.

source: Patient.info