Antibiotic - Y. Pradeep

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  • 8/9/2019 Antibiotic - Y. Pradeep

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    Name :YEDLA PRADEEP

    KUMAR

    College: CHALAPTHI

    INSTITUTE OF

    PHARMACEUTICAL

    SCIENCES

    Year: 3RD YEAR

    E mail id:

    [email protected]

    Profile link:

    http;//www.pharmainfo.net/yed

    la pradeep kumar

    Name: - S.S.MANIKIRAN-

    GUIDE

    DESIGNATION:

    Asst.professor

    College:. CHALAPTHI

    INSTITUTE OF

    PHARMACEUTICALSCIENCES

    Email id:

    [email protected]

    Profile link:

    http;//www.pharmainfo.net/manikiran

    ANTIBIOTIC MISUSE &DRUG

    RESISTANCE

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    Antibiotic resistance is a specific type ofdrug

    resistance when a microorganism has the

    ability of withstanding the effects ofantibiotics.

    Antibiotic resistance evolves via natural

    selection acting upon random mutation

    The widespread use of antibiotics both inside

    and outside of medicine is playing a significant

    role in the emergence of resistant bacteria

    The volume of antibiotic prescribed is the

    major factor in increasing rates or bacterial

    resistance rather than compliance with

    antibiotics. Inappropriate prescribing of

    antibiotics has been attributed to a number of

    causes including: people who insist onantibiotics,

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    OBJECTIVES

    To make aware of the threats that are

    caused due to misuse of antibiotics

    Give information about various causes of

    antibiotic resistance

    To educate on proper use of antibiotics

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    What are

    Antibiotics?

    Powerful medicines with one very important job: to

    fight disease-causingbacteria.

    When used properly, antibiotics can save lives.

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    Antibiotic ResistantBacteria Are:

    Bacteria that mutate and are able to resist

    the antibiotics that are meant to kill them.

    This is a normal process speeded up by

    the overuse and misuse of antibiotics.

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    What is Antibiotic Misuse?

    Taking antibiotics when they are not needed:

    for viral infections

    When needed, taking antibiotics incorrectly:

    stopping the medicine when you feel better - not

    finishing the prescription

    saving antibiotics for a future illness

    sharing or using someone elses medicine

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    Why is Antibiotic Misuse

    a Problem?1. Antibiotics become less effective and may not

    work the next time you use them.

    2. Improper use of antibiotics leads to more

    antibiotic resistant bacteria.

    3. Antibiotic resistant bacteria can be spread

    throughout the community and from person toperson.

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    percentage ofunnecessary prescriptions

    TYPE TOTAL NO OF

    PRESCRIPTIONS(

    MILLIONS)

    PERCENTAGE OF

    UN NECESSARY

    PRESCRIPTIONSEARINFECTION 23 30

    COMMON COLD 18 100

    BRONCHITIS 16 80

    SORE THROAT 13 50

    SINUSITIS 13 50

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    Antibiotic Resistant Bacteria

    Require stronger antibiotics

    Are more common in people who recently

    used antibiotics* Can be spread within a family or a

    community

    Can affect anyone

    Are becoming more common

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    Mechanisms of

    resistance

    Penicillins,

    Cephalosporins

    Tetracycline

    Streptococcus

    neumoniaeresistance to

    penicillins

    MRSA

    penicillin

    binding protein

    PBP2A

    Imipenemresistant

    Pseudomonas

    aeruginosae

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    Evolution of resistance

    Antibiotic use represents a strongselection pressure

    If a population of bacteria with a fewresistant individuals is exposed to alethal antibiotic, the susceptible bacteriawill die, but the resistant bacteria willsurvive

    In an environment with a lot ofantibiotic use, resistance alleles spreadrapidly

    he problem is compounded byhorizontal gene transfer and by cross-

    resistance

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    Horizontal transfer

    Simpleselectionisnt the

    onlymeans

    forresistance alleles

    to spread

    Bacteria

    canacquireresistance genes

    bytransformation,when

    they pickup DNAfrom theenviron

    ment

    They can

    also getresistance genes

    byconjugat

    ion:bacterial

    sex,whenthey

    exchange

    plasmids

    Plasmidscan havemultipleresistance genes,conferrin

    gmultiresi

    stance

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    Antibiotics promote

    resistanceIf a patient taking a course of antibiotictreatment does not complete it

    or forgets to take the doses regularly,

    Then resistant strains get a chance to build up

    The antibiotics also kill innocent bystandersbacteria which are non-pathogens

    This reduces the competition for the resistantpathogens

    The use of antibiotics also promotes antibioticresistance in non-pathogens too

    These non-pathogens may later pass theirresistance genes on to pathogens

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    Myths and Facts

    Myth: Taking antibiotics means I or my child can return to work or childcaresooner

    Fact: Antibiotics do not shorten the duration of viral illnesses

    Everyone should stay home until they are fever-free and well enough to

    participate in activities whether they have a viral or bacterial illness.

    Myth: Cold and flu symptoms will feel better or get better faster onantibiotics

    Fact: Antibiotics cannot ease the symptoms of viral illnesses; these

    infections resolve on their own

    Children and adults need extra rest and care, extra fluidsnot

    antibiotics, symptomatic relief is helpful

    Myth: Illnesses with the same symptoms require antibiotics

    Fact: Illnesses with similar symptoms can be caused by different

    germs

    Let a healthcare provider decide if the illness is caused by a

    virus orbacteria - and if antibiotics are needed

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    Points to note when taking

    antibiotics

    Antibiotics should onlybe taken at yourdoctors prescription.

    To ensure that theinfection is totally

    under control, confirm

    the number of days oftreatment regimen withyour doctor or

    pharmacist andcomplete the wholecourse accordingly.

    If you miss one dose,take it as soon as youremember but nevertake a double dose.

    Complete the wholecourse by following

    doctors prescription totake antibiotics on theright time at the right

    dose.

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    APPLICATIONSOF

    ANTIBIOTIC RESISTANCELast but not the least despite of the threats due to

    antibiotic resistance, it finds use in genetic

    engineeringAntibiotic resistant genes can be incorporated into

    the microorganisms along with the desired genes ,

    so that the genitically transformed cells can be

    isolated from the normal cells by the applicationof antibiotics

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    ` Writing this acknowledgement has provided me with the great

    opportunity to note the enormous help & guidance given by variouspersons whose work was note worthy & cant be diminished frommy mind & soul.

    ` I would like to thankwww.pharmainfo.net to give me opportunityof presenting power point presentation regarding my interestedtopic.

    ` I would like to thank our principal Nadendla Rama Rao & otherfaculty members who encouraged me for this purpose.

    ` I would also like to thank librarian of my institute for giving mepermission to utilize our library resources.

    Finally, I would like to mention a very special thank to my guide(s.s.Manikiran) who give me his valuable time, support and constant

    guidance with continuous suggestions to make this presentation veryeffective.

    ` .

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    REFERENCESHarrison JW, Svec TA (April 1998).

    ^ Lautenbach E, Larosa LA, Kasbekar N, Peng HP, ManigliaRJ, Fishman NO (March 2003). use "Fluoroqu

    ^Pickering, TD.; Gurwitz, JH.; Zaleznik, D.; Noonan, JP.;Avorn, J. (Jan 1994).

    ^Beringer, PM.; Wong-Beringer, A.; Rho, JP. (Jan 1998).

    ^ James R. Roberts (October 2008). "

    ^Galatti L, Giustini SE, Sessa A, et al. (March 2005)."Neuropsychiatric reactions to drugs: an analysis ofspontaneous reports from general practitioners in Italy". ^Froom J, Culpepper L, Jacobs M, et al. (July 1997)."Antimicrobials for acute otitis media?). BMJ 315 (7100): 98102. PMID 9240050. PMC 2127061.

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    CONCLUSION

    Antibiotics is effective for treating bacterialinfections only but it is not a panacea.

    Antibiotics must be taken underdoctorsprescription.

    Follow doctors or pharmacists instruction strictlyin completing the whole course of antibiotics atthe right time at the right dose.

    While taking antibiotics, personal hygiene must bestrengthened.

    If feeling unwell after taking antibiotics, contactyourdoctor immediately.

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